Ipecac‐induced myopathy simulating dermatomyositis

Abstract
A young woman with an eating disorder [bulimia] was studied. To induce vomiting, she took syrup of ipecac daily for 2 yr and then developed insidious, progressive muscle weakness. Skin findings were similar to those of dermatomyositis. Muscle biopsy was similar to experimental emetine myopathy and lacked inflammatory features. Upon cessation of ipecac abuse, strength returned.