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Dermatomyositis sine dermatitis, a rare phenotype of idiopathic inflammatory myopathy

  • Park, Jin-Sung (Department of Neurology, Kyungpook National University School of Medicine) ;
  • Park, Ji-Young (Department of Pathology, Kyungpook National University School of Medicine)
  • Received : 2017.04.26
  • Accepted : 2017.05.25
  • Published : 2017.06.30

Abstract

Dermatomyositis (DM) is characterized by progressive proximal limb weakness and typical skin manifestations. The histological findings that show perifascicular atrophy and deposition of membrane attack complex are pathognomic features of DM. Dermatomyositis is categorized into classical DM and non-classical DM, which includes amyopathic DM and DM sine dermatitis. DM sine dermatitis is seldom described because of its rarity, making the diagnosis more challenging. We report a case of DM sine dermatitis, a rare phenotype of DM.

Keywords

References

  1. Hoogendijk JE, Amato AA, Lecky BR, Choy EH, Lundberg IE, Rose MR, et al. 119th ENMC international workshop: trial design in adult idiopathic inflammatory myopathies, with the exception of inclusion body myositis, 10-12 October 2003, Naarden, The Netherlands. Neuromuscul Disord 2004;14:337-45. https://doi.org/10.1016/j.nmd.2004.02.006
  2. Bohan A, Peter JB. Polymyositis and dermatomyositis (first of two parts). N Engl J Med 1975;292:344-7. https://doi.org/10.1056/NEJM197502132920706
  3. Dalakas MC, Hohlfeld R. Polymyositis and dermatomyositis. Lancet 2003;362(9388):971-82. https://doi.org/10.1016/S0140-6736(03)14368-1
  4. Gerami P, Schope JM, McDonald L, Walling HW, Sontheimer RD. A systematic review of adult-onset clinically amyopathic dermatomyositis (dermatomyositis siné myositis): a missing link within the spectrum of the idiopathic inflammatory myopathies. J Am Acad Dermatol 2006;54:597-613. https://doi.org/10.1016/j.jaad.2005.10.041
  5. Karri SB, Kannan MA, Rajashekhar L, Uppin MS, Challa S. Clinico pathological study of adult dermatomyositis: Importance of muscle histology in the diagnosis. Ann Indian Acad Neurol 2015;18:194-9. https://doi.org/10.4103/0972-2327.150603
  6. Findlay AR, Goyal NA, Mozaffar T. An overview of polymyositis and dermatomyositis. Muscle Nerve 2015;51:638-56. https://doi.org/10.1002/mus.24566
  7. Szwebel TA, Perrot S, Kierzek G, Maisonobe T, Tigaud JM, Le Jeunne C, et al. Paraneoplasic dermatomyositis sine dermatitis associated with a tumor of the renal excretion system. J Clin Neuromuscul Dis 2008;10:35-6. https://doi.org/10.1097/CND.0b013e3181828ce3

Cited by

  1. Anti-MDA5 Antibody-Positive Interstitial Pneumonia with Autoimmune Features Presenting as Amyopathic Hypodermatitic Dermatomyositis: A Case Report vol.13, pp.1, 2017, https://doi.org/10.1159/000515245