Dermatomyositis with exfoliation of esophageal mucosa: A case report.
10.11817/j.issn.1672-7347.2021.190258
- Author:
Wei ZHENG
1
;
Hao ZHANG
2
;
Xianming ZHANG
2
;
Yan LIU
3
Author Information
1. Department of Nephrology, Third Xiangya Hospital, Central South University, Changsha 410013, China. tired_of_naming@163.com.
2. Department of Nephrology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
3. Department of Nephrology, Third Xiangya Hospital, Central South University, Changsha 410013, China. nianbiecabell@sina.com.
- Publication Type:Journal Article
- Keywords:
acupuncture;
dermatomyositis;
dysphagia;
endoscopic submucosal dissection;
exfoliation of esophageal mucosa;
glucocorticoid
- MeSH:
Adult;
Dermatomyositis/complications*;
Endoscopic Mucosal Resection;
Esophageal Mucosa;
Esophageal Neoplasms;
Gastroscopy;
Humans;
Male;
Treatment Outcome
- From:
Journal of Central South University(Medical Sciences)
2021;46(1):104-107
- CountryChina
- Language:English
-
Abstract:
Dermatomyositis (DM) is a kind of idiopathic inflammatory myopathy characterized by chronic proximal skeletal muscle weakness and unique skin lesions. However, DM with exfoliation of esophageal mucosa is rare. A 36-year-old male patient complained of muscular soreness of extremities, dysphagia, and pharyngalgia was diagnosed with DM with exfoliation of esophageal mucosa. After treatment with glucocorticoid, immunosuppressant, acupuncture, and endoscopic submucosal dissection (ESD), the above symptoms were disappeared. During the 3-year follow-up period, the results of routine physical examination, laboratory examination, gastroscopy, and imaging examination were normal. High-dose of corticosteroid is needed in the initial treatment, but it must be reduced regularly to avoid adverse reactions. Acupuncture and ESD are also effective as adjuvant therapy.
