Dermatomyositis

Published on 27/02/2015 by admin

Filed under Anesthesiology

Last modified 27/02/2015

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23. Dermatomyositis

Definition

Dermatomyositis is a disorder of collagen/connective tissue characterized by nonsuppurative skin inflammation and subcutaneous tissue and muscle fiber necrosis. It may be acute, subacute, or chronic.

Incidence

The most recent estimates indicate that dermatomyositis occurs at the rate of about 5.5:1,000,000. The frequency seems to be increasing. There is a 2:1 predilection toward females, but no apparent preference for a particular race.

Etiology

The cause of dermatomyositis is not fully understood. There are suggestions that it is caused by a complement-mediated vascular inflammation. The immunologic abnormalities may be triggered by a wide variety of agents.
Potential Triggers of Immunologic Abnormalities Related to Dermatomyositis

• Borrelia species
• Collagen injections
• Drug ingestion
• Silicone breast implants
• Toxoplasma species
• Viruses

Signs and Symptoms

• Arthralgia
• Arthritis
• Calcinosis of skin or muscle
• Dysphagia
• Dysphonia
• Dyspnea
• Dysrhythmias
• Facial erythema
• Gottron papules
• Heliotrope rash
• Joint swelling
• Malar erythema
• Muscle tenderness
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