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Panniculitis in Anti-MDA-5 Positive Juvenile Dermatomyositis: A Case Report
Semra Ayduran1, Gulsah Kilbas1, Saadet Nilay Tigrak1
1Department of Pediatric Rheumatology, Pamukkale University, Denizli, Turkiye.
Abstract:
Panniculitis is a rare clinical finding in dermatomyositis. There are few reported cases in the medical literature. In this report, we describe a 17-year-old male patient with anti-MDA5 positive hypomyopathic dermatomyositis who, eight months after diagnosis, presented with indurated nodules on the right forearm and right thigh despite methotrexate and monthly intravenous immunoglobulin treatment. A skin biopsy revealed lobular panniculitis with lymphocytic infiltrate. His lesions were successfully controlled with hydroxychloroquine and azathioprine. This article presents a case regarding the rarity of panniculitis in juvenile dermatomyositis and its treatment strategy.
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