We report a hereditary muscle disorder with features of inclusion body
myositis (IBM) in two adult sisters with slowly progressive asymmetri
cal muscle weakness. The findings of light microscopic and ultrastruct
ural investigations of muscle biopsy specimens were consistent with a
diagnosis of IBM. Both patients improved and stabilized on immunosuppr
essive treatment with corticosteroids and azathioprine. This different
iates our patients from other sporadic and familial cases of IBM. Clin
ical and histological features are described and compared with those o
f other previously reported families with IBM.