Presentation
Patient will need assistance on and off table. Dermatomyositis - recently commenced on Prednisolone. Moderately severe proximal limb girdle weakness and moderate dysphagia. Extent of inflammatory muscle disease?
Patient Data
Age: 30 years
Gender: Female
From the case:
Dermatomyositis
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Extensive symmetrical high T2 signal on FLAIR throughout all the muscle groups of the pelvis and thighs. Slight sparing of the superomedial aspects of the gluteus maximus muscles.
Minor subcutaneous edema laterally at the level of the hips.
Muscle enzymes
Creatine Kinase *810U/L (normal<165)
AST *73U/L (normal <40)
Case Discussion
This case shows a moderate-severe dermatomyositis of non malignant etiology.
The laboratory findings and clinical presentation correlate with the MR findings.