Juvenile dermatomyositis. Case systematization
DOI:
https://doi.org/10.5281/zenodo.1467742Keywords:
juvenile dermatomyositis, systematizing, patient’s age, health history, clinical picture, complementary results, differential diagnosis, managemAbstract
Introduction: Literature search established a problem to be addressed: the scarcity of case studies of juvenile dermatomyositis, which is why this research aims to shed light on this pathology, little reflected in the medical literature. Note also that systematization can serve as a bibliographic reservoir for postgraduate studies of medical specialists.
Objective: to systematize and compare 10 cases of juvenile dermatomyositis, published in the main medical journals regarding patient’s age, health history, clinical picture, complementary results, differential diagnosis, management.
Development: up to 30 % of patients with juvenile dermatomyositis can present calcinosis, especially in pressure points such as elbows, knees, fingers and buttocks. Calcinosis may be present at the time of diagnosis but is usually established after 1 to 3 years and may cause the appearance of skin ulcers, decreased joint ranges, pain and local inflammation. About 10% of patients with juvenile dermatomyositis may have skin ulcers. The study of its evolution usually announces a severe course of the disease with constant weakness, extensive calcinosis and poor response to treatment.
Conclusions: it is important to systematize the studies related to cases of dermatological alterations of juvenile dermatomyositis, since the disease constitutes a remarkable manifestation, both as a marker of activity and of its derived damage. Likewise, they can help to achieve a clearer statistical perception of the morbidity rate and its consequent relationship with prognosis.
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