A rare form of dermatomyositis associated with muscle weakness and normal creatine kinase level
Identifieur interne : 000272 ( Pmc/Curation ); précédent : 000271; suivant : 000273A rare form of dermatomyositis associated with muscle weakness and normal creatine kinase level
Auteurs : Christopher Kwan [Australie] ; Suzana Milosevic [Australie] ; Helen Benham [Australie] ; Ian A. Scott [Australie]Source :
- BMJ Case Reports [ 1757-790X ] ; 2020.
Abstract
We present a case study of a 61-year-old Vietnamese woman who presents with features of dermatomyositis (DM), including Gottron’s papules, heliotrope rash, cutaneous ulcers, generalised weakness and pain, and weight loss with normal levels of creatine kinase (CK). She demonstrated features of interstitial lung disease and subsequently tested positive for anti-melanoma differentiation-associated gene 5 and anti-small ubiquitin-like modifier 1 activating enzyme antibodies, which belong to a DM subtype known as clinically amyopathic dermatomyositis and do not present with raised CK. She received standard treatment for DM, including oral prednisolone, hydroxychloroquine, mycopheonlate and topical betamethasone. The treatment successfully reversed skin changes; however, the patient remained generally weak and unable to carry out her activities of daily living.
Url:
DOI: 10.1136/bcr-2019-232260
PubMed: 32033996
PubMed Central: 7021146
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<front><div type="abstract" xml:lang="en"><p>We present a case study of a 61-year-old Vietnamese woman who presents with features of dermatomyositis (DM), including Gottron’s papules, heliotrope rash, cutaneous ulcers, generalised weakness and pain, and weight loss with normal levels of creatine kinase (CK). She demonstrated features of interstitial lung disease and subsequently tested positive for anti-melanoma differentiation-associated gene 5 and anti-small ubiquitin-like modifier 1 activating enzyme antibodies, which belong to a DM subtype known as clinically amyopathic dermatomyositis and do not present with raised CK. She received standard treatment for DM, including oral prednisolone, hydroxychloroquine, mycopheonlate and topical betamethasone. The treatment successfully reversed skin changes; however, the patient remained generally weak and unable to carry out her activities of daily living.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMJ Case Rep</journal-id>
<journal-id journal-id-type="iso-abbrev">BMJ Case Rep</journal-id>
<journal-id journal-id-type="hwp">bmjcr</journal-id>
<journal-id journal-id-type="publisher-id">bmjcasereports</journal-id>
<journal-title-group><journal-title>BMJ Case Reports</journal-title>
</journal-title-group>
<issn pub-type="epub">1757-790X</issn>
<publisher><publisher-name>BMJ Publishing Group</publisher-name>
<publisher-loc>BMA House, Tavistock Square, London, WC1H 9JR</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">32033996</article-id>
<article-id pub-id-type="pmc">7021146</article-id>
<article-id pub-id-type="publisher-id">bcr-2019-232260</article-id>
<article-id pub-id-type="doi">10.1136/bcr-2019-232260</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Rare Disease</subject>
</subj-group>
<subj-group subj-group-type="hwp-journal-coll"><subject>1506</subject>
<subject>1523</subject>
<subject>157</subject>
<subject>532</subject>
<subject>57</subject>
</subj-group>
<series-title>Case report</series-title>
</article-categories>
<title-group><article-title>A rare form of dermatomyositis associated with muscle weakness and normal creatine kinase level</article-title>
</title-group>
<contrib-group><contrib id="author-72000353" contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-3775-4370</contrib-id>
<name><surname>Kwan</surname>
<given-names>Christopher</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib id="author-72000776" contrib-type="author"><name><surname>Milosevic</surname>
<given-names>Suzana</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib id="author-74879664" contrib-type="author"><name><surname>Benham</surname>
<given-names>Helen</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib id="author-71172845" contrib-type="author"><name><surname>Scott</surname>
<given-names>Ian A</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label>
<institution content-type="department">Department of General Medicine</institution>
,<institution>Princess Alexandra Hospital Health Service District</institution>
,<addr-line content-type="city">Brisbane</addr-line>
,<addr-line content-type="state">Queensland</addr-line>
,<country>Australia</country>
</aff>
<aff id="aff2"><label>2</label>
<institution content-type="department">Department of Rheumatology</institution>
,<institution>Princess Alexandra Hospital Health Service District</institution>
,<addr-line content-type="city">Brisbane</addr-line>
,<addr-line content-type="state">Queensland</addr-line>
,<country>Australia</country>
</aff>
<author-notes><corresp><label>Correspondence to</label>
Dr Christopher Kwan; <email>chriskwan88@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><year>2020</year>
</pub-date>
<pub-date pub-type="epub"><day>6</day>
<month>2</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>6</day>
<month>2</month>
<year>2020</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on the . </pmc-comment>
<volume>13</volume>
<issue>2</issue>
<elocation-id>e232260</elocation-id>
<history><date date-type="accepted"><day>19</day>
<month>1</month>
<year>2020</year>
</date>
</history>
<permissions><copyright-statement>© BMJ Publishing Group Limited 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</copyright-statement>
<copyright-year>2020</copyright-year>
<license license-type="open-access"><ali:license_ref start_date="2020-02-06">http://creativecommons.org/licenses/by-nc/4.0/</ali:license_ref>
<license-p>This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>
.</license-p>
</license>
</permissions>
<self-uri xlink:title="pdf" xlink:href="bcr-2019-232260.pdf"></self-uri>
<abstract><p>We present a case study of a 61-year-old Vietnamese woman who presents with features of dermatomyositis (DM), including Gottron’s papules, heliotrope rash, cutaneous ulcers, generalised weakness and pain, and weight loss with normal levels of creatine kinase (CK). She demonstrated features of interstitial lung disease and subsequently tested positive for anti-melanoma differentiation-associated gene 5 and anti-small ubiquitin-like modifier 1 activating enzyme antibodies, which belong to a DM subtype known as clinically amyopathic dermatomyositis and do not present with raised CK. She received standard treatment for DM, including oral prednisolone, hydroxychloroquine, mycopheonlate and topical betamethasone. The treatment successfully reversed skin changes; however, the patient remained generally weak and unable to carry out her activities of daily living.</p>
</abstract>
<kwd-group><kwd>general practice / family medicine</kwd>
<kwd>rheumatology</kwd>
<kwd>dermatology</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>special-feature</meta-name>
<meta-value>unlocked</meta-value>
</custom-meta>
</custom-meta-group>
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</front>
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