Dermatomyositis: a dermatology-based case series.

Abstract:

BACKGROUND:Dermatomyositis is associated with significant morbidity and occasional mortality. Currently there is no consensus on treatment for patients with dermatomyositis. OBJECTIVE:Our purpose was to review the clinical features and response to therapy of patients with dermatomyositis and compare these data with previous series of patients with dermatomyositis/polymyositis. METHODS:Clinical characteristics of 65 patients seen during a 10-year period were reviewed retrospectively. Twenty-one of these patients were enrolled in a prospective, uncontrolled study of treatment with high-dose prednisone followed by slow tapering. RESULTS:Clinical features were similar to those previously described; however, muscle strength at diagnosis was on average greater in patients in this series than in patients previously reported. Malignancy was present in 5 of 43 adult patients (12%), but was not found in patients with juvenile dermatomyositis. Another connective tissue disease was present in 19% of patients. Twelve patients had dermatomyositis sine myositis. Eighteen of 21 patients (85%) in the prednisone study group had resolution of myositis. CONCLUSION:Patients with dermatomyositis in this series had less active myositis at presentation, but were otherwise similar to patients with dermatomyositis/polymyositis previously reported. Treatment with high-dose daily prednisone followed by slow tapering was effective.

journal_name

J Am Acad Dermatol

authors

Dawkins MA,Jorizzo JL,Walker FO,Albertson D,Sinal SH,Hinds A

doi

10.1016/s0190-9622(98)70496-7

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

397-404

issue

3

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(98)70496-7

journal_volume

38

pub_type

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