Antibody found in myositis is ?
**Core Concept**
Autoantibodies play a crucial role in the pathogenesis of myositis, an inflammatory muscle disease characterized by muscle weakness and muscle damage. The presence of specific autoantibodies can help in the diagnosis and classification of myositis.
**Why the Correct Answer is Right**
The correct answer is **Anti-Jo1**, an autoantibody directed against the enzyme histidyl-tRNA synthetase. This autoantibody is commonly found in patients with polymyositis and dermatomyositis, particularly those with the antisynthetase syndrome. The presence of anti-Jo1 autoantibody is associated with interstitial lung disease, skin rash, and arthritis in addition to myositis. The exact mechanism of anti-Jo1 autoantibody in myositis is not fully understood, but it is thought to contribute to muscle damage through the activation of immune cells and the production of pro-inflammatory cytokines.
**Why Each Wrong Option is Incorrect**
**Option A:** Anti-Ro (SS-A) autoantibody is commonly found in patients with systemic lupus erythematosus (SLE) and Sjögren's syndrome, and is not typically associated with myositis.
**Option B:** Anti-Scl-70 (anti-topoisomerase I) autoantibody is commonly found in patients with systemic sclerosis (scleroderma), and is not typically associated with myositis.
**Option C:** Anti-Mi-2 autoantibody is found in a small subset of patients with dermatomyositis, but is not as common as anti-Jo1 autoantibody.
**Clinical Pearl / High-Yield Fact**
In patients with myositis, the presence of anti-Jo1 autoantibody is a strong predictor of interstitial lung disease, and patients should be closely monitored for respiratory symptoms.
**Correct Answer:** D. Anti-Jo1