True about polymyositis is -a) Ocular muscle involvementb) Pharyngeal involvementc) Muscle atrophyd) Brisk reflexes common

## **Core Concept**
Polymyositis is an inflammatory muscle disease characterized by muscle inflammation and weakness. It is a type of idiopathic inflammatory myopathy that primarily affects proximal muscles. The condition is often associated with certain autoantibodies and can have systemic manifestations.

## **Why the Correct Answer is Right**
The correct answer includes options that are commonly associated with polymyositis.
- **b) Pharyngeal involvement**: This is a known complication, which can lead to dysphagia.
- **c) Muscle atrophy**: Muscle atrophy can occur due to chronic inflammation and disuse of affected muscles.
- **d) Brisk reflexes common**: In the context of muscle diseases like polymyositis, reflexes are typically preserved or can be brisk, especially in the early stages.

## **Why Each Wrong Option is Incorrect**
- **Option A: a) Ocular muscle involvement**: Ocular muscles are typically spared in polymyositis. The extraocular muscles are often not involved in the disease process.

## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that polymyositis characteristically spares the ocular muscles and does not typically cause skin manifestations (unlike dermatomyositis). Early recognition and treatment are crucial to prevent long-term muscle damage and improve outcomes.

## **Correct Answer: B.**