In most cases, the cause of an inflammatory myopathy like polymyositis (PM) is unclear. For some reason, the body’s immune system turns against its own muscles and damages muscle tissue in an autoimmune process.
Viruses might be a trigger for autoimmune myositis. People with the HIV virus, which causes AIDS, can develop a myositis, as can people with a virus called HTLV-1. Some myositis cases have followed infection with the Coxsackie B virus.