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Dermatomyositis sine dermatitis, a rare phenotype of idiopathic inflammatory myopathy

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초록

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.

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.

참고문헌 (7)

  1. Hoogendijk JE, "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, 14, pp.337~345 (2004)
  2. Bohan A, "Polymyositis and dermatomyositis (first of two parts)", N Engl J Med, 292, pp.344~347 (1975)
  3. Dalakas MC, "Polymyositis and dermatomyositis", Lancet, 362(9388), pp.971~982 (2003)
  4. Gerami P, "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, 54, pp.597~613 (2006)
  5. Karri SB, "Clinico pathological study of adult dermatomyositis: Importance of muscle histology in the diagnosis", Ann Indian Acad Neurol, 18, pp.194~199 (2015)
  6. Findlay AR, "An overview of polymyositis and dermatomyositis", Muscle Nerve, 51, pp.638~656 (2015)
  7. Szwebel TA, "Paraneoplasic dermatomyositis sine dermatitis associated with a tumor of the renal excretion system", J Clin Neuromuscul Dis, 10, pp.35~36 (2008)

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