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Published on: July 18, 2014
Juvenile dermatomyositis presenting as complete heart block in a 10-year-old girl
Ritwik Ghosh1, Devlina Roy1, Souvik Dubey2
1Department of General Medicine, Burdwan Medical College & Hospital , Burdwan, India.
Insights
Juvenile dermatomyositis (JDM) can cause heart problems like complete heart block. Early detection and corticosteroid treatment are crucial for managing cardiac issues in JDM patients.
Area of Science:
- Pediatric Rheumatology
- Cardiology
Background:
- Juvenile dermatomyositis (JDM) is an autoimmune disease impacting muscles and skin.
- Cardiac involvement, including conduction abnormalities and myocardial dysfunction, is a known complication of JDM.
- Cardiac manifestations in JDM can appear anytime, from disease onset to long-term follow-up, necessitating regular screening.
Abstract:
Juvenile dermatomyositis (JDM) is an auto-immune inflammatory condition associated with cardiac disorders including conduction abnormalities and myocardial dysfunction. The time of presentation of cardiac abnormalities can range from disease onset to after long-term follow-up, emphasising the importance of screening for cardiac involvement in JDM. A previously healthy 10-year-old girl presented with syncope, fatigue and weakness associated with a heliotrope rash. JDM was diagnosed based on the clinical, laboratory and imaging findings. An ECG demonstrated complete heart block (CHB). All symptoms resolved following treatment with parenteral corticosteroids. In JDM, it is important to investigate for cardiac manifestations and in CHB to consider administering corticosteroids.
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