Dermatomyositosis: a rare case report
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20230947Keywords:
Dermatomyositis, Creatin phosphokinase, Inflammation, MyopathyAbstract
Dermatomyositis (DM) is a connective tissue disorder and is an idiopathic inflammatory myopathy characterized by skin manifestations. Diagnosis is based on progressive muscle weakness, skin rashes, elevated serum muscle enzymes, muscle biopsy, and abnormal electromyography. In this case study we report a case of classic DM without co-existing malignancy. Timely diagnosis and administration of corticosteroids and physiotherapy led to a better prognosis for the patient. Corticosteroids are the foundation of the treatment. However, the patient remained generally weak and treatment was advised to be continued on discharge.
References
Marvi U, Chung L, Fiorentino DF. Clinical presentation and evaluation of dermatomyositis. Indian J Dermatol. 2012;57(5):375–81.
Kalyan M, Kanitkar S, Gaikwad A, Kumar H. Dermatomyositis: a case report. J Mahatma Gandhi Inst Med Sci. 2016;21(1):53–5.
Gerami P, Schope JM, McDonald L, Walling HW, Sontheimer RD. A systematic review of adult-onset clinically amyopathic dermatomyositis (dermatomyositis sine myositis): a missing link within the spectrum of the idiopathic inflammatory myopathies. J Am Acad Dermatol. 2006;54(4):597–613.
Dourmishev AL, Dourmishev LA. Dermatomyositis and drugs. Adv Exp Med Biol. 1999;455:187-91.
Krathen MS, Fiorentino D, Werth VP. Dermatomyositis. Curr Dir Autoimmun 2008;10:313-32.
Garcia FCL, Collado CR, Hernandez RJ, Alejandro EAG, Andrea VM, Guillermo VS, et al. Dermatomyositis and Breast Cancer: A Case Report and Review. Med Case Rep J. 2018;1:101.
Volochayev R, Csako G, Wesley R, Rider LG, Miller FW. Laboratory Test Abnormalities are Common in Polymyositis and Dermatomyositis and Differ Among Clinical and Demographic Groups. Open Rheumatol J. 2012;6:54-63.
John KA, Helena J, Anders O, Olof J, Chris De L, Melton J, et al. A meta-analysis of prior corticosteroid use and fracture risk. Journal of bone and mineral research 2004;19:893-9.
De Oliveira DS, Giovani MR, Rodrigues LF, Katsuyuki SS. Physical exercise among patients with systemic autoimmune myopathies. Adv Rheumatol. 2018;58(5).
Olazagasti JM, Baez PJ, Wetter DA, Ernste FC. Cancer risk in dermatomyositis: a meta-analysis of cohort studies. Am J Clin Dermatol. 2015;16(2):89-98.
