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Acute dermatomyositis with subcutaneous generalized edema

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Abstract

The authors report a 40-year-old Caucasian man with relapsing muscle and skin involvement of dermatomyositis treated with high-dose corticosteroids, taken orally, and methotrexate and human gamma globulin, both administered intravenously. After 4 months of aggressive treatment, he presented with generalized edema, considered secondary to dermatomyositis. Aggressive immunosuppression did not stop disease progression. The literature concerning anasarca due to inflammatory myopathies is revised.

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References

  1. Medsger TA, Oddis CV (1998) Inflammatory muscle disease. In: Klippel JH, Dieppe PA (eds) Rheumatology. Mosby, London, pp 1–14

    Google Scholar 

  2. Venables GS et al (1982) Acute polymyositis with subcutaneous edema. J Neurol Sci 55:161–164

    Article  PubMed  CAS  Google Scholar 

  3. Gorelik O, Almoznino-Sarafian D, Alon I et al (2001) Acute inflammatory myopathy with severe subcutaneous edema, a new variant? Report of two cases and review of the literature. Rheumatol Int 20:163–166

    Article  PubMed  CAS  Google Scholar 

  4. Lyon-Caen O, Bouche P, Chaunu MP, Duyckaerts C, Vitoux JF (1985) Acute polymyositis with spontaneously regressive subcutaneous edema. Rev Neurol (Paris) 141:749–752

    CAS  Google Scholar 

  5. Nitsche A (2000) Edema de tronco y de pared abdominal en dermatomyositis. Medicina (B Aires) 48:331–332

    Google Scholar 

  6. Smyth AE, Bell AL (2000) Acute oedematous dermatomyositis. Ann Rheum Dis 59:574–575

    Article  Google Scholar 

  7. Andonopoulos AP, Gogos CA, Tzanakakis G (1993) Subcutaneous edema: an “unrecognized” feature of acute polymyositis. Rheumatol Int 13:159–161

    Article  PubMed  CAS  Google Scholar 

  8. Mroue KH, Sharana NH, Rbeiz JG, Arayssi TK (2003) A case of edematous dermatomyositis. J Rheum 30:2722–2723

    PubMed  Google Scholar 

  9. Mitchell JP, Dennis GJ, Rider LG (2001) Juvenile dermatomyositis with ansarca: a possible indicator of severe disease activity. J Pediatr 138:942–945

    Article  PubMed  CAS  Google Scholar 

  10. Mehndiratta S, Banerjee P (2004) Juvenile dermatomyositis presenting with anasarca. Indian Pediatr 41:752–753

    PubMed  Google Scholar 

  11. Karabiber H, Aslan M, Alkan A, Yakinci C (2004) A rare complication of generalized edema in juvenile dermatomyositis: a report of one case. Brain Dev 26:269–272

    Article  PubMed  Google Scholar 

  12. Bohan A, Peter JB (1975) Polymyositis and dermatomyositis. N Engl J Med 292:403–407

    Article  PubMed  CAS  Google Scholar 

  13. Go RS, Call TG (2000) Deep venous thrombosis of the arm after intravenous immunoglobulin infusion: case report and literature review of intravenous-related thrombotic complications. Mayo Clin Proc 75(1):83–85

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Simone Appenzeller.

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Werner de Castro, G., Appenzeller, S., Bértolo, M. et al. Acute dermatomyositis with subcutaneous generalized edema. Clin Rheumatol 25, 898–900 (2006). https://doi.org/10.1007/s10067-005-0053-9

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  • DOI: https://doi.org/10.1007/s10067-005-0053-9

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