TY - JOUR
T1 - Unusual sequelae of adult-onset dermatomyositis
AU - Naffaa, Mohammad Ebrahim
AU - Bishara, Rema
AU - Braun-Moscovici, Yolanda
AU - Balbir-Gurman, Alexandra
PY - 2014/8/1
Y1 - 2014/8/1
N2 - A 44-year-old woman diagnosed with dermatomyositis 5 years ago based on progressive proximal muscle weakness, elevated creatine kinase, typical findings on electromyography and muscle biopsy. Despite the treatment, in contrast to improvement in her muscle symptoms, the heliotrope rash of her eyelids persisted. After several years, the patient developed multiple limited skin retraction lesions with hyperpigmentation on both lower limbs. Palpation of these lesions revealed dry, cold and very firm skin on both thighs and calves, particularly in the distal areas. X-ray and ultrasound imaging of the calves showed multiple subcutaneous calcifications in the distal muscles.
AB - A 44-year-old woman diagnosed with dermatomyositis 5 years ago based on progressive proximal muscle weakness, elevated creatine kinase, typical findings on electromyography and muscle biopsy. Despite the treatment, in contrast to improvement in her muscle symptoms, the heliotrope rash of her eyelids persisted. After several years, the patient developed multiple limited skin retraction lesions with hyperpigmentation on both lower limbs. Palpation of these lesions revealed dry, cold and very firm skin on both thighs and calves, particularly in the distal areas. X-ray and ultrasound imaging of the calves showed multiple subcutaneous calcifications in the distal muscles.
UR - http://www.scopus.com/inward/record.url?scp=84907344285&partnerID=8YFLogxK
U2 - 10.1136/bcr-2014-204521
DO - 10.1136/bcr-2014-204521
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C2 - 25085949
AN - SCOPUS:84907344285
SN - 1757-790X
JO - BMJ Case Reports
JF - BMJ Case Reports
M1 - 1593
ER -