Dermatomyositis with hemorrhagic myositis

A 64-year-old Japanese female, diagnosed as dermatomyositis with acute interstitial pneumonia, complained of acute abdominal pain. Computed tomography of the abdomen showed hematoma in the right retroperitoneum and left rectus-sheath. Angiogram showed multiple small aneurysms on left iliolumbar arte...

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Bibliographic Details
Published in:Rheumatology international 2009-09, Vol.29 (11), p.1363-1366
Main Authors: Yamagishi, Masashi, Tajima, Shunji, Suetake, Aki, Kawakami, Hidenori, Watanabe, Takeo, Kuriyama, Hideyuki, Takada, Toshinori, Suzuki, Eiichi, Gejyo, Fumitake
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Aneurysm - complications
Case Report
Dermatomyositis - complications
Female
Hematoma - complications
Hematoma - etiology
Hemorrhage - diagnosis
Hemorrhage - etiology
Humans
Medical disorders
Medicine
Medicine & Public Health
Middle Aged
Myositis - etiology
Retroperitoneal Space
Rheumatology
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Summary:A 64-year-old Japanese female, diagnosed as dermatomyositis with acute interstitial pneumonia, complained of acute abdominal pain. Computed tomography of the abdomen showed hematoma in the right retroperitoneum and left rectus-sheath. Angiogram showed multiple small aneurysms on left iliolumbar artery and a horizontal linear flush, suggesting active bleeding foci in the muscles. Although arterial embolization therapy was effective for hemostatic treatment, she died of thrombotic thrombocytopenic purpura and multiple organ failure without respiratory insufficiency. Other causes of microaneurysm, such as systemic vasculitides or infectious diseases, were excluded. We considered that this is the first case report of dermatomyositis with hemorrhagic myositis associated with small aneurysms.
ISSN:0172-8172
1437-160X
DOI:10.1007/s00296-008-0821-3