Juvenile dermatomiosis: case report
DOI:
https://doi.org/10.37497/JMRReview.v1i1.13Keywords:
Juvenile dermatomyositis, Myopathy, PediatricsAbstract
Background: Juvenile dermatomyosis (JDM) is a rare disease, although it is the most common inflammatory myopathy in childhood. The early therapy has been shown to considerably decrease disease morbidity and mortality. Due to the rarity of JDM, describing new cases becomes of great value for the process of continuing medical education in Pediatrics.
Aim: To report a single case of JDM treated at our Service. Case Report: This was a patient with a history of delay in motor development, who was admitted to our Service at the age of two due to a fracture of the left femur. After the first hospitalization, she continued with follow-up in outpatient clinics of different specialties, in an attempt to investigate her condition in a multidisciplinary way. Later, she was admitted again with fever and pain in the right upper limb. During follow-up with the rheumatologist, it was observed that the patient had characteristic manifestations of JDM, such as photosensitive malar rash, heliotropes and Gottron's papules. Subsequently, she started treatment with methylprednisolone in pulse therapy for three days, in addition to cyclophosphamide cycles, ending the therapy with prednisone 2mg / kg / day. Since then, the patient has been followed up.
Conclusion: JDM, despite its usual rarity, has characteristic signs such as photosensitive malar rash, proximal myopathy, heliotropes and Gottron's papules, which should always be considered in the early diagnosis and treatment. Furthermore, the identification of specific antibodies can be useful for the diagnosis of most patients, and unusual signs such as chorioretinopathy may indicate the presence of the disease.
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