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Case 60 - Dermatomyositis (DM)

from Myopathies

Published online by Cambridge University Press:  29 November 2024

Jessica E. Hoogendijk
Affiliation:
University Medical Center Utrecht
Marianne de Visser
Affiliation:
Amsterdam University Medical Center
Pieter A. van Doorn
Affiliation:
Erasmus MC, University Medical Center, Rotterdam
Erik H. Niks
Affiliation:
Leiden University Medical Center
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Summary

A 38-year-old woman was referred to a dermatologist because of a rash in the face. She had been feeling low in energy for several months and in the past two months her arms and legs felt weak accompanied by myalgia. The rash had expanded to the extensor surfaces of hands and knees, upper chest, and neck. Serum CK was 4313 U/L (20 × ULN), and she was referred to the outpatient department for neuromuscular disorders with a presumed diagnosis of dermatomyositis.

Type
Chapter
Information
Neuromuscular Disease
A Case-Based Approach
, pp. 247 - 251
Publisher: Cambridge University Press
Print publication year: 2024

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References

Suggested Reading

Bhai, SF, Dimachkie, MM, de Visser, M. Is it really myositis? Mimics and pitfalls. Best Pract Res Clin Rheumatol 2022;36(2):101764. doi: 10.1016/j.berh.2022.101764. Epub 2022 Jun 23. PMID: 35752578.CrossRefGoogle ScholarPubMed
Ezeofor, AJ, O’Connell, KA, Cobos, GA, et al. Distinctive cutaneous features of dermatomyositis in Black adults: a case series. JAAD Case Rep 2023;37:106109. doi: 10.1016/j.jdcr.2023.05.019. PMID: 37396484; PMCID: PMC10314225.CrossRefGoogle ScholarPubMed
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Goswami, RP, Haldar, SN, Chatterjee, M, et al. Efficacy and safety of intravenous and subcutaneous immunoglobulin therapy in idiopathic inflammatory myopathy: a systematic review and meta-analysis. Autoimmun Rev 2022;21(2):102997. doi: 10.1016/j.autrev.2021.102997. Epub 2021 Nov 17. PMID: 34800685.CrossRefGoogle ScholarPubMed
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Oldroyd, AGS, Callen, JP, Chinoy, H, et al.; International Myositis Assessment and Clinical Studies Group Cancer Screening Expert Group; Aggarwal, R. International Guideline for Idiopathic Inflammatory Myopathy-Associated Cancer Screening: an International Myositis Assessment and Clinical Studies Group (IMACS) initiative. Nat Rev Rheumatol 2023;19(12):805817. doi: 10.1038/s41584-023-01045-w. Epub ahead of print. PMID: 37945774.CrossRefGoogle Scholar
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