A Case of Scleredema Associated with Dermatomyositis.
10.4078/jrd.2011.18.4.324
- Author:
Jung Hee PARK
1
;
Sang Heon LEE
;
Jung Hwa LEE
;
Sung Chul HONG
;
Mi Jin HONG
;
Eugene PARK
;
Jang Soo HAN
;
Cho I LEE
;
So Mi KIM
;
Hae Rim KIM
Author Information
1. Division of Rheumatology, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. kimhaerim@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
Dermatomyositis;
Scleredema;
Immunosupressants
- MeSH:
Biopsy;
Cyclosporine;
Dermatomyositis;
Exanthema;
Female;
Hand;
Humans;
Immunosuppressive Agents;
Methotrexate;
Middle Aged;
Muscles;
Scleredema Adultorum;
Skin;
Skin Manifestations;
Steroids;
Thigh
- From:Journal of Rheumatic Diseases
2011;18(4):324-326
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dermatomyositis (DM) is rare systemic inflammatory disease with typical skin manifestations and muscular involvement. Various skin lesions can accompany this disease, such as Gottron's sign, Heliotrope rash, mechanic's hands, V sign and shawl sign. Scleredema is a very rare skin manifestation in DM. We report a case of DM in a 63-year-old woman, who had scleredema on her thighs. A diagnosis of DM was established by clinical manifestation, elevated muscle enzyme levels, electromyogram measures, and muscle biopsy findings. She was successfully treated with the immunosuppressants methotrexate, cyclosporine, and steroids (low dose).