Acute Hemorrhagic Myositis in Inflammatory Myopathy and Review of the Literature

We describe two patients with dermatomyositis that presented with interstitial lung disease, positive V and Shawl sign who developed acute spontaneous abdominal/retroperitoneal bleed. Both patients expired despite aggressive treatment and resuscitation. Hemorrhagic myositis in these two patients wit...

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Bibliographic Details
Published in:Case reports in rheumatology 2014-01, Vol.2014 (2014), p.1-8
Main Authors: Wong, Andrew L., Heinze, Emil R., Clements, Philip J., Patel, Dharmi B., Gharibian, Nayiri, Wu, Kim M., Van Gelder, Howard, Morris, Robert I.
Format: Article
Language:English
Subjects:
Biopsy
Case Report
Constipation
Disease
Fever
Hospitalization
Patients
Pneumonia
Pulmonary arteries
Rheumatology
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Summary:We describe two patients with dermatomyositis that presented with interstitial lung disease, positive V and Shawl sign who developed acute spontaneous abdominal/retroperitoneal bleed. Both patients expired despite aggressive treatment and resuscitation. Hemorrhagic myositis in these two patients with inflammatory myopathy is a very rare complication. The association of anti-Ro52 with this potentially very serious complication remains unclear. This potential relationship should be further evaluated in future studies.
ISSN:2090-6889
2090-6897
DOI:10.1155/2014/639756