7. For some time, Adam has been experiencing fever, lethargy, muscle swelling and tenderness, and a rash on his face, chest, and eyelids. After a number of blood tests and
treatments with various anti-inflammatory agents, the symptoms have not been
alleviated-in fact, they seem to be worsening. The strength of Adam's upper limb
muscles is measured at significantly below normal (3-) on both sides of his body. Based
on these signs and symptoms, his physician orders a muscle biopsy. Which muscle
disorder does the physician suspect? What questions could the physician ask to aid his
diagnosis, and how can the biopsy help identify the disease affecting Adam?