A rare form of dermatomyositis associated with muscle weakness and normal creatine kinase level.
Identifieur interne : 000016 ( PubMed/Checkpoint ); précédent : 000015; suivant : 000017A rare form of dermatomyositis associated with muscle weakness and normal creatine kinase level.
Auteurs : Christopher Kwan [Oman] ; 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.
DOI: 10.1136/bcr-2019-232260
PubMed: 32033996
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Scott</name><affiliation wicri:level="1"><nlm:affiliation>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32033996</idno><idno type="pmid">32033996</idno><idno type="doi">10.1136/bcr-2019-232260</idno><idno type="wicri:Area/PubMed/Corpus">000007</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000007</idno><idno type="wicri:Area/PubMed/Curation">000007</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000007</idno><idno type="wicri:Area/PubMed/Checkpoint">000016</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000016</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A rare form of dermatomyositis associated with muscle weakness and normal creatine kinase level.</title><author><name sortKey="Kwan, Christopher" sort="Kwan, Christopher" uniqKey="Kwan C" first="Christopher" last="Kwan">Christopher Kwan</name><affiliation wicri:level="1"><nlm:affiliation>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland, Australia chriskwan88@gmail.com.</nlm:affiliation><country wicri:rule="url">Oman</country><wicri:regionArea>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Milosevic, Suzana" sort="Milosevic, Suzana" uniqKey="Milosevic S" first="Suzana" last="Milosevic">Suzana Milosevic</name><affiliation wicri:level="1"><nlm:affiliation>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Benham, Helen" sort="Benham, Helen" uniqKey="Benham H" first="Helen" last="Benham">Helen Benham</name><affiliation wicri:level="1"><nlm:affiliation>Department of Rheumatology, Princess Alexandra Hospital Health Service District, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rheumatology, Princess Alexandra Hospital Health Service District, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Scott, Ian A" sort="Scott, Ian A" uniqKey="Scott I" first="Ian A" last="Scott">Ian A. Scott</name><affiliation wicri:level="1"><nlm:affiliation>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMJ case reports</title><idno type="eISSN">1757-790X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">32033996</PMID><DateRevised><Year>2020</Year><Month>03</Month><Day>01</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1757-790X</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><Issue>2</Issue><PubDate><Year>2020</Year><Month>Feb</Month><Day>06</Day></PubDate></JournalIssue><Title>BMJ case reports</Title><ISOAbbreviation>BMJ Case Rep</ISOAbbreviation></Journal><ArticleTitle>A rare form of dermatomyositis associated with muscle weakness and normal creatine kinase level.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">e232260</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1136/bcr-2019-232260</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>© BMJ Publishing Group Limited 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kwan</LastName><ForeName>Christopher</ForeName><Initials>C</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-3775-4370</Identifier><AffiliationInfo><Affiliation>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland, Australia chriskwan88@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Milosevic</LastName><ForeName>Suzana</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Benham</LastName><ForeName>Helen</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Rheumatology, Princess Alexandra Hospital Health Service District, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Scott</LastName><ForeName>Ian A</ForeName><Initials>IA</Initials><AffiliationInfo><Affiliation>Department of General Medicine, Princess Alexandra Hospital Health Service District, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>02</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMJ Case Rep</MedlineTA><NlmUniqueID>101526291</NlmUniqueID><ISSNLinking>1757-790X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">dermatology</Keyword><Keyword MajorTopicYN="N">general practice / family medicine</Keyword><Keyword MajorTopicYN="N">rheumatology</Keyword></KeywordList><CoiStatement>Competing interests: None declared.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>2</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>2</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>2</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32033996</ArticleId><ArticleId IdType="pii">13/2/e232260</ArticleId><ArticleId IdType="doi">10.1136/bcr-2019-232260</ArticleId><ArticleId IdType="pmc">PMC7021146</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Rheumatol. 1977 Summer;4(2):207-14</Citation><ArticleIdList><ArticleId 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