[Dermatomyositis. Presentation of a mild to moderate case with early dysphagia]

M Sánchez Carbonell; H Climent Antolí; A L Leandro Fonseca; J M Paricio Talayero; P Escrivá Tomás

doi:10.1016/j.anpedi.2013.10.038

[Dermatomyositis. Presentation of a mild to moderate case with early dysphagia]

An Pediatr (Barc). 2015 Jan;82(1):e86-9. doi: 10.1016/j.anpedi.2013.10.038. Epub 2014 Feb 14.

[Article in Spanish]

Authors

M Sánchez Carbonell¹, H Climent Antolí¹, A L Leandro Fonseca¹, J M Paricio Talayero¹, P Escrivá Tomás²

Affiliations

¹ Hospital Virgen de los Lirios, Alcoy, Alicante, España.
² Hospital Virgen de los Lirios, Alcoy, Alicante, España. Electronic address: [email protected].

PMID: 24529890
DOI: 10.1016/j.anpedi.2013.10.038

Abstract

We report the case of a twelve year old female patient with juvenile dermatomyositis. The diagnosis was made in our unit a few days after starting with proximal muscular weakness and a skin rash. A combination of oral corticosteroids and methotrexate was administered. There was an initial improvent in the skin lesions, but with no changes in the muscle weakness. The appearance of dysphagia a few days after starting the treatment led us to add three pulses of parenteral methylprednisolone to her initial treatment. We report the case to illustrate the difficulties in deciding initial treatment options.

Keywords: Dermatomiositis juvenil; Initial treatment; Juvenile dermatomyositis; Methylprednisolone; Metilprednisolona; Tratamiento inicial.

Publication types

Case Reports

MeSH terms

Child
Deglutition Disorders / etiology*
Dermatomyositis / complications*
Female
Humans
Severity of Illness Index
Time Factors