Subcutaneous oedema of upper limbs heralding an aggressive form of dermatomyositis
Mohit Shukla1, Rishi Patel1, Halyna Kuzyshyn1
1Department of Rheumatology, Cooper University Hospital, Camden, New Jersey, USA.
BMJ Case Reports
|June 1, 2018
Abstract:
Subcutaneous oedema is a rare presenting clinical manifestation of dermatomyositis. In this case, we report a 44-year-old man presenting with bilateral upper extremity predominant swelling and weakness. The proximal muscle weakness, dysphagia and presence of Gottron's papules as well poikiloderma like skin changes led to the clinical diagnosis of dermatomyositis. He received aggressive treatment with high-dose glucocorticoids and required intravenous immunoglobulin with improvement in his symptoms.
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