Naslov
Amyopathic dermatomyositis as a therapeutic problem

Autori
Marinović, Branka ; Lipozenčić, Jasna ; Basta-Juzbašić, Aleksandra

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Program & Abstracts 2nd International Conference on Cutaneous Lupus Erythematosus / - , 2008

Skup
2nd International Conference on Cutaneous Lupus Erythematosus

Mjesto i datum
Kyoto, Japan, 11.05.2008. - 13.05.2008

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Lupus erythematosus; dermatomyositis; biopsy; EMNG; therapy

Sažetak
A female patient now aged 47 presented for the first time to our Department 10 years before with butterfly erythema on her face. Shortly thereafter, eryhtema appeared on both dorsa of her hands. One year later erythema appeared on her chest and buttocks. Biopsy performed in 1998 showed some elements of lupus erythematosus, thus prednisolone 50 mg and Resochin were introduced. She came to our Department at the end of 1999 for periorbital erythema, erythema on her hands (Gottron's papules) with periungual erythema, and on her arms and buttocks. She did not complain of muscle weakness. Her laboratory findings including muscle enzymes were within the normal values, whereas biopsy showed elements of dermatomyositis. EMNG was normal. In 2001 she got pregnant and gave birth to a healthy child at the end of 2001. During pregnancy, there was no worsening of the disease. Two months after delivery, she felt muscle weakness and her muscle enzymes slightly increased. She was administered prednisolone 30 mg and felt much better for some time. Her skin finding has slowly worsened over years ; now her face is erythematous, with some violaceous areas ; her body is poikilodermic ; and she has Gottron's papules and periungual erythema. Now her muscle weakness has resolved and her muscle enzymes are normal. However, the choice of appropriate therapy for her skin to improve remains a problem as yet impossible to solve.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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