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Published on: December 15, 2011
Dermatomyositis presenting with symptomatic dermographism and raised troponin T: a case report
Kartini F Rahim1, Robert S Dawe
1Department of Dermatology, Level 8, Ninewells Hospital Dundee DD1 9SY UK.
Introduction:
Dermatomyositis is an important inflammation of skin and muscles. Generalised itch is frequent in the condition; however, symptomatic dermographism has not previously been reported as a presenting feature.
Case Presentation:
A 32-year-old Caucasian Scottish woman was diagnosed with dermatomyositis after initial presentation with symptomatic dermographism. No underlying neoplasm was found and her condition was successfully treated with systemic corticosteroids and high-dose human immunoglobulin infusions. At presentation, her troponin T and creatine phosphokinase enzymes were highly raised.
Conclusion:
Symptomatic dermographism may be a presenting feature of dermatomyositis. Dermatomyositis is one of many conditions that can result in a raised troponin T.
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