Muscle Weakness and Fever

  • Piyush Kumar
  • Anupam Das


  • Presence of the characteristic heliotrope rash on eyelids, violaceus rash in sun exposed areas and the Gottron papules on knuckles, is necessary for the diagnosis of juvenile dermatomyositis

  • Symptomatic lung diseases and association with underlying malignancy are more common in adult dermatomyositis but not juvenile dermatomyositis

  • Calcinosis cutis and cutaneous ulcerations are seen up to 30% cases of juvenile dermatomyositis

  • Intravenous immunoglobulin, cyclophosphamide, and mycophenolate mofetil are first-line immunosuppressive therapy in juvenile dermatomyositis

  • Intensive physiotherapy and strict photoprotection are essential ellements in treatment of dermatomyositis


Juvenile dermatomyositis Gottron papules Heliotrope rash Calcinosis cutis 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Piyush Kumar
    • 1
  • Anupam Das
    • 2
  1. 1.Department of DermatologyKatihar Medical CollegeKatiharIndia
  2. 2.Department of DermatologyKPC Medical CollegeKolkataIndia

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