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Rheumatology International

, Volume 27, Issue 9, pp 877–879 | Cite as

Dermatomyositis with massive ascites

  • Seisuke OtaEmail author
  • Akinori Kasahara
  • Taku Yamada
  • Mitsune Tanimoto
Case Report

Abstract

There have been few reports of dermatomyositis causing ascites. Here we report a case of a 63-year-old man complaining of general fatigue and gastromegaly. Abdominal examination revealed distension without tenderness. Serum myogenic enzyme was elevated. Electromyographic investigation indicated low amplitude signs, which were compatible with muscle disorder. Abdominal paracentesis on the fifth day yielded 2,500 ml clear, serous fluid. The specific gravity was 1.026 (range 1.005–1.015), with a positive Rivalta reaction, 3.4 g/dl total protein, and 1.59 g/dl albumin, suggesting exudate. Excluding the other causes of exudative ascites, we considered that the ascites was caused by dermatomyositis.

Keywords

Dermatomyositis Ascites 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Seisuke Ota
    • 1
    • 3
    Email author
  • Akinori Kasahara
    • 1
  • Taku Yamada
    • 2
  • Mitsune Tanimoto
    • 3
  1. 1.Department of Internal MedicineThe Himeji St. Mary’s HospitalHimejiJapan
  2. 2.Department of DermatologyThe Himeji Red Cross HospitalHimejiJapan
  3. 3.Department of Hematology, Oncology and Respiratory MedicineOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesOkayamaJapan

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