Dermatomyositis Presenting with Isolated Dysphagia: A Case Report
10.46518/kjnmd.2022.14.2.30
- Author:
Inyoung LEE
1
;
Hak-In LEE
;
Ha Young CHOI
;
Kee Hong PARK
;
Sooyoung KIM
;
Eunhee SOHN
Author Information
1. Department of Neurology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea
- Publication Type:Case Report
- From:
Korean Journal of Neuromuscular Disorders
2022;14(2):30-34
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of a 75-year-old woman who was diagnosed with dermatomyositis presenting with isolated dysphagia. There were no obvious cranial nerve deficits with normal motor grade in all the limbs in neurological examinations, but a suspicious rash was observed in the anterior chest. The serum creatine kinase was 306 IU/L, and active myopathic changes in bilateral limb muscles were observed in the electromyography test. Muscle biopsy from vastus lateralis showed perivascular infiltration of mononuclear inflammatory cells, which was compatible with dermatomyositis. She had responded to oral prednisolone and azathioprine.