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[Dermatomyositis and Wilson disease]

M el Alaoui-Faris1, M Benabdeljalil, I Slassi

  • 1Service de Neurologie, Hôpital des Spécialités, Rabat, Maroc.

Revue Neurologique
|January 1, 1994
PubMed
Summary

A rare case of a 15-year-old girl with dermatomyositis and Wilson's disease achieved remission with steroids and D-penicillamine. This highlights the potential link between copper toxicity and muscle disease.

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Area of Science:

  • Neurology
  • Rheumatology
  • Hepatology

Background:

  • Wilson's disease is a genetic disorder causing copper accumulation.
  • Dermatomyositis is an idiopathic inflammatory myopathy.

Observation:

  • A 15-year-old female presented with concurrent dermatomyositis and Wilson's disease.
  • The patient exhibited symptoms indicative of both conditions.

Findings:

  • Clinical remission was achieved using corticosteroids and D-penicillamine.
  • This treatment regimen effectively managed both the inflammatory myopathy and copper overload.

Implications:

  • Suggests a potential role for copper toxicity in the pathogenesis of dermatomyositis.
  • Highlights the importance of considering metabolic disorders in inflammatory myopathies.

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  • Demonstrates successful combined therapeutic approach for co-occurring autoimmune and metabolic diseases.