Juvenile Dermatomyositis Presenting With Rash Alone

Juvenile dermatomyositis (JDMS) usually presents with a characteristic rash and evidence of muscle weakness. Occasionally a patient will exhibit the rash with no evidence of muscle involvement. Five children with a history of rash for at least six months, but no muscle weakness, were treated at a pr...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1997-09, Vol.100 (3), p.391-392
Main Authors: Eisenstein, Daniel M, Paller, Amy S, Pachman, Lauren M
Format: Article
Language:English
Subjects:
Adolescent
Anti-Inflammatory Agents - therapeutic use
Biological and medical sciences
Child
Child, Preschool
Children
Children & youth
Dermatomyositis
Dermatomyositis - drug therapy
Dermatomyositis - pathology
Diseases
Erythema - pathology
Facial Dermatoses - pathology
Humans
Infant
Medical disorders
Medical sciences
Methylprednisolone Hemisuccinate - therapeutic use
Nail Diseases - pathology
Pediatric diseases
Pediatrics
Physiological aspects
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Skin
Skin - pathology
Skin Diseases, Papulosquamous - pathology
Telangiectasis - pathology
Urticaria - pathology
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Description
Summary:Juvenile dermatomyositis (JDMS) usually presents with a characteristic rash and evidence of muscle weakness. Occasionally a patient will exhibit the rash with no evidence of muscle involvement. Five children with a history of rash for at least six months, but no muscle weakness, were treated at a prominent medical center. All of the children later developed muscular complications. None of them developed the more serious complication of joint calcification seen in children not treated for over one year following presentation of the rash. This suggests that early treatment of JDMS presenting with rash alone may be indicated.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.100.3.391