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Juvenile dermatomyositis: a case of delayed recognition with unusual complication of nephrocalcinosis
- Source :
- BMJ Case Rep
- Publication Year :
- 2023
-
Abstract
- Juvenile dermatomyositis (JDM) is the most common inflammatory myopathy in children and is characterised by the presence of proximal muscle weakness, heliotrope dermatitis, Gottron’s papules and occasionally auto antibodies. The disease primarily affects skin and muscles, but can also affect other organs. Renal manifestations though common in autoimmune conditions like lupus are rare in JDM. We describe a child whose presenting complaint was extensive calcinosis cutis. Subtle features of proximal muscle weakness were detected on examination. MRI of thighs and a muscle biopsy confirmed myositis. Nephrocalcinosis was found during routine ultrasound screening. We report the first case of a child presenting with rare association of dermatomyositis, calcinosis cutis and bilateral medullary nephrocalcinosis.
- Subjects :
- medicine.medical_specialty
Proximal muscle weakness
Case Report
Dermatomyositis
Calcinosis cutis
Inflammatory myopathy
03 medical and health sciences
0302 clinical medicine
medicine
Humans
030212 general & internal medicine
Child
Myositis
Juvenile dermatomyositis
Skin
030203 arthritis & rheumatology
Muscle biopsy
Muscle Weakness
medicine.diagnostic_test
business.industry
General Medicine
medicine.disease
Dermatology
Nephrocalcinosis
business
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....a798058eb9ad4555d9047dd7b7b8c389