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Dermatomyositis in an Elderly with Respiratory Presentation: A Case Report
Srijana Maharjan1, Uma Giri2, Anushree Jha3
1Sumeru City Hospital, Pulchowk, Lalitpur, Nepal.
JNMA; Journal of the Nepal Medical Association
|May 28, 2022
Summary
This case report details a rare instance of dermatomyositis with interstitial lung disease in Nepal. Early diagnosis and treatment are crucial for managing this rare presentation of dermatomyositis.
Area of Science:
- Rheumatology and Pulmonology
- Rare disease presentation
Background:
- Dermatomyositis is a rare idiopathic inflammatory myopathy affecting skin and muscles.
- Few cases of dermatomyositis, especially with respiratory involvement, are reported in Nepal.
Observation:
- A 74-year-old male presented with generalized weakness, weight loss, Gottron's papules, heliotrope rash, and respiratory symptoms.
- High-resolution computed tomography confirmed interstitial lung disease.
- Progressive increase in creatine phosphokinase and positive antinuclear antibody test were noted.
Findings:
- The patient exhibited a rare combination of dermatomyositis and interstitial lung disease.
- Diagnostic markers included characteristic skin and muscle symptoms, pulmonary findings, elevated creatine phosphokinase, and positive antinuclear antibody.
Implications:
- This case highlights the importance of considering dermatomyositis with interstitial lung disease in patients presenting with relevant symptoms in Nepal.
- Early diagnosis and prompt initiation of standard dermatomyositis treatment are essential for better patient outcomes.
- Further research into the prevalence and specific clinical characteristics of dermatomyositis in the Nepalese population is warranted.
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