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Severe calcinosis cutis with cutaneous ulceration in juvenile dermatomyositis

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Abstract

Background

Calcinosis cutis is usually seen in long standing and untreated cases of juvenile dermatomyositis.

Case characteristics

7-year-old girl with severe calcinosis cutis who developed cutaneous ulceration, rash and myopathy.

Observation

Myopathic changes in EMG, muscle edema in MRI, elevated muscle enzymes and Jo-1 positive antibodies.

Outcome

Treatment with prednisolone and methotrexate resulted in improvement of the lesion.

Message

Calcinosis cutis may be a presenting feature of juvenile dermatomyositis even in the absence of characteristic findings of rash and weakness.

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References

  1. Robinson AB, Reed AM. Juvenile Dermatomyositis. In: Kliegman R, Stanton B, Geme III J, Schor N, Behrman R, editors. Nelson Textbook of Pediatrics. 19th ed. Philadelphia: Saunders;2011.P.846

    Google Scholar 

  2. Rider LG, Lindsley CB, Cassidy JT. Juvenile Dermatomyositis.In: Cassidy JT, Petty RE, Laxer RM, Lindsley CB, editors.. Textbook of Pediatric Rheumatology. 6th ed. Canada: Saunders Elsevier; 2011.P.383

    Google Scholar 

  3. Lobo IM, Machado S, Teixeira M, Selores M. Calcinosis cutis: A rare feature of adult dermatomyositis. Dermatol Online J. 2008;14:10.

    PubMed  Google Scholar 

  4. Tristano AG, Villarroel JL, Rodriguez MA, Millan A. Calcinosis cutis universalis in a patient with systemic lupus erythematosus. Clin Rheumatol. 2006;25:70–4.

    Article  PubMed  Google Scholar 

  5. Ramanan AV, Feldman BM. Clinical features and outcomes of juvenile dermatomyositis and other childhood onset myositis syndromes. Rheum Dis Clin North Am. 2002;28:833–57.

    Article  CAS  PubMed  Google Scholar 

  6. Blane CE, White SJ, Braunstein EM, Bowyer SL, Sullivan DB. Patterns of calcification in childhood dermatomyositis. Am J Roentgenol. 1984,142:397–400.

    Article  CAS  Google Scholar 

  7. Wananukul S, Pongprasit P, Wattanakrai P. Calcinosis cutis presenting years before other clinical manifestations of juvenile dermatomyositis: Report of two cases. Australas J Dermatol. 1997;38:202–5.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Paediatrics, Sardar Vallavbhai Patel Post Graduate Institute of Paediatrics, SCB Medical College, 34/B, Vima Bihar, Sector-6, CDA, Cuttack, Odisha, India

    Bijay Kumar Meher, Pravakar Mishra & Pradeep Sivaraj

  2. Department of Rheumatology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India

    Prasanta Padhan

Authors
  1. Bijay Kumar Meher
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  2. Pravakar Mishra
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  3. Pradeep Sivaraj
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  4. Prasanta Padhan
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Corresponding author

Correspondence to Bijay Kumar Meher.

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Meher, B.K., Mishra, P., Sivaraj, P. et al. Severe calcinosis cutis with cutaneous ulceration in juvenile dermatomyositis. Indian Pediatr 51, 925–927 (2014). https://doi.org/10.1007/s13312-014-0531-8

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  • DOI: https://doi.org/10.1007/s13312-014-0531-8

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