Amyopathic dermatomyositis (dermatomyositis siné myositis)
Identifieur interne : 000134 ( Istex/Corpus ); précédent : 000133; suivant : 000135Amyopathic dermatomyositis (dermatomyositis siné myositis)
Auteurs : Rebecca L. Euwer ; Richard D. SontheimerSource :
- Journal of the American Academy of Dermatology [ 0190-9622 ] ; 1991.
English descriptors
- Teeft :
- Acad dermatol, American academy, Amyopathic, Amyopathic dermatomyositis, Amyopathic dermatomyositis patients, Biopsy, Bohan, Clin dermatol, Corticosteroid, Cutaneous, Cutaneous findings, Cutaneous manifestations, Dermatol, Dermatology, Dermatology euwer, Dermatomyositis, Dermatomyositis sin6 myositis, Eruption, Erythema, Histopathologic characteristics, Hydroxychloroquine, Inflammation, Krain, Lupus erythematosus, Muscle disease, Muscle enzymes, Muscle involvement, Muscle weakness, Myositis, Papule, Pediatric patient, Periungual, Polymyositis, Prednisone, Pulmonary fibrosis, Residual muscle disease, Skin disease, Skin inflammation, Sontheimer, Symptomatic skin disease, Violaceous, Violaceous discoloration.
Abstract
We report six patients with the classic cutaneous findings of dermatomyositis who did not develop clinical or laboratory evidence of muscle disease for at least 2 years after onset of then-skin manifestations. Such patients represent 11% of our total experience with dermatomyositis patients during a 15 year period. All six patients had Gottron's paules, periungual erythema/telangiectasia, and violaceous discoloration of the face, neck, upper chest, and back at some time during the course of their disease. In addition, all complained of pruritus and photosensitivity. None of the patients had evidence of malignancy. Each of five patients treated with oral corticosteroids for their cutaneous disease had marked improvement and did not develop myositis. These cases further emphasize that the cutaneous manifestations of dermatomyositis are pathognomonic of this disease and challenge the commonly held notion that muscle disease always develops within 2 years of onset of skin disease.
Url:
DOI: 10.1016/0190-9622(91)70153-S
Links to Exploration step
ISTEX:BABC6EF6DAC719E51CEF2093161230C10A90762BLe document en format XML
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Euwer</name><affiliation><mods:affiliation>From the Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas, USA</mods:affiliation></affiliation></author><author><name sortKey="Sontheimer, Richard D" sort="Sontheimer, Richard D" uniqKey="Sontheimer R" first="Richard D." last="Sontheimer">Richard D. Sontheimer</name><affiliation><mods:affiliation>From the Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>From the Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Reprint requests: R. D. Sontheimer, MD, Department of Dermatology, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75235.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of the American Academy of Dermatology</title><title level="j" type="abbrev">YMJD</title><idno type="ISSN">0190-9622</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1991">1991</date><biblScope unit="volume">24</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="supplement">P1</biblScope><biblScope unit="page" from="959">959</biblScope><biblScope unit="page" to="966">966</biblScope></imprint><idno type="ISSN">0190-9622</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0190-9622</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Acad dermatol</term><term>American academy</term><term>Amyopathic</term><term>Amyopathic dermatomyositis</term><term>Amyopathic dermatomyositis patients</term><term>Biopsy</term><term>Bohan</term><term>Clin dermatol</term><term>Corticosteroid</term><term>Cutaneous</term><term>Cutaneous findings</term><term>Cutaneous manifestations</term><term>Dermatol</term><term>Dermatology</term><term>Dermatology euwer</term><term>Dermatomyositis</term><term>Dermatomyositis sin6 myositis</term><term>Eruption</term><term>Erythema</term><term>Histopathologic characteristics</term><term>Hydroxychloroquine</term><term>Inflammation</term><term>Krain</term><term>Lupus erythematosus</term><term>Muscle disease</term><term>Muscle enzymes</term><term>Muscle involvement</term><term>Muscle weakness</term><term>Myositis</term><term>Papule</term><term>Pediatric patient</term><term>Periungual</term><term>Polymyositis</term><term>Prednisone</term><term>Pulmonary fibrosis</term><term>Residual muscle disease</term><term>Skin disease</term><term>Skin inflammation</term><term>Sontheimer</term><term>Symptomatic skin disease</term><term>Violaceous</term><term>Violaceous discoloration</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">We report six patients with the classic cutaneous findings of dermatomyositis who did not develop clinical or laboratory evidence of muscle disease for at least 2 years after onset of then-skin manifestations. Such patients represent 11% of our total experience with dermatomyositis patients during a 15 year period. All six patients had Gottron's paules, periungual erythema/telangiectasia, and violaceous discoloration of the face, neck, upper chest, and back at some time during the course of their disease. In addition, all complained of pruritus and photosensitivity. None of the patients had evidence of malignancy. Each of five patients treated with oral corticosteroids for their cutaneous disease had marked improvement and did not develop myositis. These cases further emphasize that the cutaneous manifestations of dermatomyositis are pathognomonic of this disease and challenge the commonly held notion that muscle disease always develops within 2 years of onset of skin disease.</div></front></TEI><istex><corpusName>elsevier</corpusName><keywords><teeft><json:string>dermatomyositis</json:string><json:string>cutaneous</json:string><json:string>amyopathic</json:string><json:string>skin disease</json:string><json:string>muscle disease</json:string><json:string>amyopathic dermatomyositis</json:string><json:string>bohan</json:string><json:string>violaceous</json:string><json:string>corticosteroid</json:string><json:string>erythema</json:string><json:string>sontheimer</json:string><json:string>dermatol</json:string><json:string>muscle weakness</json:string><json:string>myositis</json:string><json:string>krain</json:string><json:string>hydroxychloroquine</json:string><json:string>dermatology</json:string><json:string>periungual</json:string><json:string>papule</json:string><json:string>pediatric patient</json:string><json:string>cutaneous manifestations</json:string><json:string>cutaneous findings</json:string><json:string>inflammation</json:string><json:string>polymyositis</json:string><json:string>american academy</json:string><json:string>muscle enzymes</json:string><json:string>dermatomyositis sin6 myositis</json:string><json:string>amyopathic dermatomyositis patients</json:string><json:string>clin dermatol</json:string><json:string>violaceous discoloration</json:string><json:string>skin inflammation</json:string><json:string>lupus erythematosus</json:string><json:string>histopathologic characteristics</json:string><json:string>muscle involvement</json:string><json:string>acad dermatol</json:string><json:string>symptomatic skin disease</json:string><json:string>dermatology euwer</json:string><json:string>residual muscle disease</json:string><json:string>pulmonary fibrosis</json:string><json:string>prednisone</json:string><json:string>eruption</json:string><json:string>biopsy</json:string></teeft></keywords><author><json:item><name>Rebecca L. Euwer MD</name><affiliations><json:string>From the Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas, USA</json:string></affiliations></json:item><json:item><name>Richard D. Sontheimer MD</name><affiliations><json:string>From the Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas, USA</json:string><json:string>From the Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA</json:string><json:string>Reprint requests: R. D. 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None of the patients had evidence of malignancy. Each of five patients treated with oral corticosteroids for their cutaneous disease had marked improvement and did not develop myositis. 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Sontheimer, MD, Department of Dermatology, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75235.</affiliation></author><idno type="istex">BABC6EF6DAC719E51CEF2093161230C10A90762B</idno><idno type="ark">ark:/67375/6H6-TQGT3DXV-R</idno><idno type="DOI">10.1016/0190-9622(91)70153-S</idno><idno type="PII">0190-9622(91)70153-S</idno><idno type="article-id">80115</idno></analytic><monogr><title level="j">Journal of the American Academy of Dermatology</title><title level="j" type="abbrev">YMJD</title><idno type="pISSN">0190-9622</idno><idno type="PII">S0190-9622(08)X8111-3</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1991"></date><biblScope unit="volume">24</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="supplement">P1</biblScope><biblScope unit="page" from="959">959</biblScope><biblScope unit="page" to="966">966</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1991</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>We report six patients with the classic cutaneous findings of dermatomyositis who did not develop clinical or laboratory evidence of muscle disease for at least 2 years after onset of then-skin manifestations. Such patients represent 11% of our total experience with dermatomyositis patients during a 15 year period. All six patients had Gottron's paules, periungual erythema/telangiectasia, and violaceous discoloration of the face, neck, upper chest, and back at some time during the course of their disease. In addition, all complained of pruritus and photosensitivity. None of the patients had evidence of malignancy. Each of five patients treated with oral corticosteroids for their cutaneous disease had marked improvement and did not develop myositis. These cases further emphasize that the cutaneous manifestations of dermatomyositis are pathognomonic of this disease and challenge the commonly held notion that muscle disease always develops within 2 years of onset of skin disease.</p></abstract></profileDesc><revisionDesc><change when="1991">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/6H6-TQGT3DXV-R/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier doc found" wicri:toSee="Elsevier, no converted or simple article"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 5.0.1//EN//XML" URI="art501.dtd" name="istex:docType"></istex:docType><istex:document><article version="5.0" xml:lang="en" docsubtype="rev"><item-info><jid>YMJD</jid><aid>80115</aid><ce:pii>0190-9622(91)70153-S</ce:pii><ce:doi>10.1016/0190-9622(91)70153-S</ce:doi><ce:copyright type="unknown" year="1991">American Academy of Dermatology, Inc.</ce:copyright></item-info><head><ce:article-footnote><ce:label>*</ce:label><ce:note-para>Presented at the Texas Dermatological Society meeting in San Antonio, Tex., May 14,1988.</ce:note-para></ce:article-footnote><ce:title>Amyopathic dermatomyositis (dermatomyositis siné myositis)</ce:title><ce:subtitle>Presentation of six new cases and review of the literature</ce:subtitle><ce:author-group><ce:author><ce:given-name>Rebecca L.</ce:given-name><ce:surname>Euwer</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="aff1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Richard D.</ce:given-name><ce:surname>Sontheimer</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="aff1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="aff2"><ce:sup>b</ce:sup></ce:cross-ref><ce:cross-ref refid="cor1"><ce:sup>†</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="aff1"><ce:label>a</ce:label><ce:textfn>From the Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas, USA</ce:textfn></ce:affiliation><ce:affiliation id="aff2"><ce:label>b</ce:label><ce:textfn>From the Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA</ce:textfn></ce:affiliation><ce:correspondence id="cor1"><ce:label>†</ce:label><ce:text>Reprint requests: R. D. Sontheimer, MD, Department of Dermatology, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75235.</ce:text></ce:correspondence></ce:author-group><ce:date-accepted day="6" month="2" year="1991"></ce:date-accepted><ce:abstract id="ab1"><ce:abstract-sec><ce:simple-para>We report six patients with the classic cutaneous findings of dermatomyositis who did not develop clinical or laboratory evidence of muscle disease for at least 2 years after onset of then-skin manifestations. Such patients represent 11% of our total experience with dermatomyositis patients during a 15 year period. All six patients had Gottron's paules, periungual erythema/telangiectasia, and violaceous discoloration of the face, neck, upper chest, and back at some time during the course of their disease. In addition, all complained of pruritus and photosensitivity. None of the patients had evidence of malignancy. Each of five patients treated with oral corticosteroids for their cutaneous disease had marked improvement and did not develop myositis. These cases further emphasize that the cutaneous manifestations of dermatomyositis are pathognomonic of this disease and challenge the commonly held notion that muscle disease always develops within 2 years of onset of skin disease.</ce:simple-para></ce:abstract-sec></ce:abstract></head><tail><ce:bibliography><ce:section-title>References</ce:section-title><ce:bibliography-sec><ce:bib-reference id="bib1"><ce:label>1.</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>CM</ce:given-name><ce:surname>Pearson</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Polymyositis and dermatomyositis</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:editors><sb:editor><ce:given-name>DJ</ce:given-name><ce:surname>Mc-Carty</ce:surname></sb:editor></sb:editors><sb:title><sb:maintitle>Arthritis (and allied conditions)</sb:maintitle></sb:title><sb:edition>9th ed.</sb:edition><sb:date>1979</sb:date><sb:publisher><sb:name>Lea & Febiger</sb:name><sb:location>Philadelphia</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>742</sb:first-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib2"><ce:label>2.</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>I</ce:given-name><ce:surname>Braverman</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Connective tissue (rheumatic) diseases</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:title><sb:maintitle>Cutaneous signs of systemic disease</sb:maintitle></sb:title><sb:edition>2nd ed.</sb:edition><sb:date>1981</sb:date></sb:edited-book><sb:pages><sb:first-page>300</sb:first-page><sb:last-page>310</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib3"><ce:label>3.</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>TY</ce:given-name><ce:surname>Woo</ce:surname></sb:author><sb:author><ce:given-name>J</ce:given-name><ce:surname>Callen</ce:surname></sb:author><sb:author><ce:given-name>J</ce:given-name><ce:surname>Voorhees</ce:surname></sb:author><sb:et-al></sb:et-al></sb:authors><sb:title><sb:maintitle>Cutaneous lesions of dermatomyositis are improved by hydroxychloroquine</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Am Acad Dermatol</sb:maintitle></sb:title><sb:volume-nr>10</sb:volume-nr></sb:series><sb:date>1984</sb:date></sb:issue><sb:pages><sb:first-page>592</sb:first-page><sb:last-page>599</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib4"><ce:label>4.</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>I</ce:given-name><ce:surname>Caro</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>A dermatologist's view of dermatomyositis-poly-myositis</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Clin Dermatol</sb:maintitle></sb:title><sb:volume-nr>6</sb:volume-nr></sb:series><sb:date>1988</sb:date></sb:issue><sb:pages><sb:first-page>9</sb:first-page><sb:last-page>14</sb:last-page></sb:pages></sb:host><sb:comment>In: Sontheimer RD, ed. 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D. Sontheimer, MD, Department of Dermatology, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75235.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="review-article" displayLabel="Review article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-L5L7X3NF-P">review-article</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1991</dateIssued><copyrightDate encoding="w3cdtf">1991</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract>We report six patients with the classic cutaneous findings of dermatomyositis who did not develop clinical or laboratory evidence of muscle disease for at least 2 years after onset of then-skin manifestations. Such patients represent 11% of our total experience with dermatomyositis patients during a 15 year period. All six patients had Gottron's paules, periungual erythema/telangiectasia, and violaceous discoloration of the face, neck, upper chest, and back at some time during the course of their disease. In addition, all complained of pruritus and photosensitivity. None of the patients had evidence of malignancy. Each of five patients treated with oral corticosteroids for their cutaneous disease had marked improvement and did not develop myositis. These cases further emphasize that the cutaneous manifestations of dermatomyositis are pathognomonic of this disease and challenge the commonly held notion that muscle disease always develops within 2 years of onset of skin disease.</abstract><note>Presented at the Texas Dermatological Society meeting in San Antonio, Tex., May 14,1988.</note><relatedItem type="host"><titleInfo><title>Journal of the American Academy of Dermatology</title></titleInfo><titleInfo type="abbreviated"><title>YMJD</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1991</dateIssued></originInfo><identifier type="ISSN">0190-9622</identifier><identifier type="PII">S0190-9622(08)X8111-3</identifier><part><date>1991</date><detail type="volume"><number>24</number><caption>vol.</caption></detail><detail type="issue"><number>6</number><caption>no.</caption></detail><detail type="supplement"><number>P1</number><caption>Suppl.</caption></detail><extent unit="issue-pages"><start>915</start><end>1082</end></extent><extent unit="pages"><start>959</start><end>966</end></extent></part></relatedItem><identifier type="istex">BABC6EF6DAC719E51CEF2093161230C10A90762B</identifier><identifier type="ark">ark:/67375/6H6-TQGT3DXV-R</identifier><identifier type="DOI">10.1016/0190-9622(91)70153-S</identifier><identifier type="PII">0190-9622(91)70153-S</identifier><identifier type="ArticleID">80115</identifier><accessCondition type="use and reproduction" contentType="copyright">©1991 American Academy of Dermatology, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-HKKZVM7B-M">elsevier</recordContentSource><recordOrigin>American Academy of Dermatology, Inc., ©1991</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/6H6-TQGT3DXV-R/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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