DOI: https://doi.org/10.22263/2312-4156.2019.2.116
Dikareva E.A., Velichinskaya O.G.
Dermatomyositis (clinical case)
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2019;18(2):116-122.
Abstract.
At the beginning of the disease dermatomyositis is characterized by a different clinical pattern. This fact leads to the situation when patients begin to take different medical specialists advice, but do not go to a rheumatologist who deals with this pathology and is well aware of the nature of the course and various clinical manifestations of dermatomyositis.
This article describes the clinical case of primary idiopathic dermatomyositis in a woman aged 62 years. The female patient had typical clinical symptoms (progressive symmetric muscle weakness in the proximal parts of upper and lower extremities; myalgia; muscle tenderness on palpation; difficulty on making any movements; joint pain; heliotropic rash; the presence of Gottron syndrome in the area of the extensor surface of the finger joints; increased body temperature up to 39.0°C) and laboratory and instrumental changes (the increase in the level of creatine phosphokinase; the presence of typical changes during electroneuromyography; antibodies to Jo-1, the increase of the ESR up to 35 mm/h) that are characteristic of dermatomyositis. Duly made diagnosis allowed to promptly administer immunosuppression therapy, that enabled the stabilization of the patient’s condition and reduction of dermatomyositis activity.
Key words: dermatomyositis, arthralgia, myalgia, autoimmune disease, antibodies.
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Information about authors:
Dikareva E.A .– Candidate of Medical Sciences, associate professor of the General Practitioner Chair with the course of Outpatient Therapy, Vitebsk State Order of Peoples’ Friendship Medical University;
Velichinskaya O.G. – Candidate of Medical Sciences, associate professor of the General Practitioner Chair with the course of Outpatient Therapy, Vitebsk State Order of Peoples’ Friendship Medical University.
Correspondence address: Republic of Belarus, 210009, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, General Practitioner Chair with the course of Outpatient Therapy. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Elena A. Dikareva.
