Dermatomyositis

Case contributed by Dr Jeremy Jones

Presentation

Rash over trunk and thighs and generalised lower limb weakness.

Patient Data

Age: 14 years
Gender: Male
MRI

Extensive, bilateral, hip girdle and thigh muscle abnormality with linear T2 hyperintensity and features of muscle oedema.  The calf muscles are relatively spared, although incompletely imaged.

Case Discussion

There is myositis affecting the hip girdle and thigh muscles and with a history of a rash, dermatomyositis is the diagnosis.

Significant improvement in clinical features following pulsed steroids.

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Case information

rID: 23881
Case created: 16th Jul 2013
Last edited: 15th Oct 2015
System: Paediatrics
Tag: muscle
Inclusion in quiz mode: Included

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