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  • The Internet Journal of Rheumatology
  • Volume 3
  • Number 2

Original Article

A Case Of Diffuse Dermatomyositis As Seen In An X-Ray

S Chatterjee, A Chakraborty

Keywords

calcification, chest x-ray, dermatomyositis

Citation

S Chatterjee, A Chakraborty. A Case Of Diffuse Dermatomyositis As Seen In An X-Ray. The Internet Journal of Rheumatology. 2006 Volume 3 Number 2.

Abstract
 

Case Report: A 18 year old female patient presented with swelling and erythema of upper and lower eye lids, scaling of scalp and follicular and non follicular erythematous papules on limbs. The complaints started 6 months ago as itching and scaling of scalp. After 2 months, she developed erythematous papular lesions of the body and erythema and oedema of eyelids. Simultaneously she developed extreme weakness and difficulty in swallowing.



The patient was sick, pyrexial and there was erythema (heliotrope) and oedema of eye lids. There were grouped erythematous papular lesions on the extremities. In addition there was dystrophy of cuticle of finger nails and scaling of scalp.



The patient was unable to get up, nor could she raise her hands to comb hair. Musculature of shoulder girdle and hip was tender. She could not breathe properly and swallowing was difficult.

Her total leucocyte count was 5000/mm 3 and ESR 68 mm first h. Her C.P.K. was 981 units per 1L and serum creatinine was 0.67 mg%. SGOT was 147 units per 1L and SGPT was 66 units per 1L L.E cell phenomenon was negative, Muscle biopsy showed changes of myositis. Chest X-ray was done and shows diffuse calcifications.

She was finally diagnosed with diffuse dermatomyositis as seen in the X-ray.

Figure 1

References

1. Blane CE, White SJ, Braunstein EM, et al. Patterns of calcification in childhood dermatomyositis. Am J Reumathol 1984; 142: 397-400.
2. Muller DA, Winkelmann RK, Brunstig LA. Calcinosis in dermatomysitis. Arch Dermatol 1959; 79: 669-73.
3. Herd JK, Vaughan JH. Calcinosis Universalis complicating dermatomyositis- its treatment with Na2EDTA: report of two cases in children. Arthritis Rheum 1964; 7: 259-71

Author Information

Saurav Chatterjee, MBBS,ECFMG certified.
Resident, Neurology Intensive Therapy Unit, National Neurosciences Centre, Peerless Hospital

Anasua Chakraborty, MBBS
Resident, AMRI Hospital

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