New diagnosis in Pediatric Emergency Room Dermatomyositis Case Report

Year 2017, Volume: 9 Issue: 5, 37 - 40, 10.09.2017

Uzm. Dr. Mustafa Törehan Aslan

Abstract

Abstract

Juvenile dermatomyositis (JDM) is an inflammatory myopathy with specific skinlesions. The prevalence rate is 10/10,000,000 while the prevalence rate in childrenis 3.2/10,000,000. Although the etiology is not fully understood, tissue compatibility antigens, environmental factors (viruses, drugs, etc.) and autoimmunity are often responsible. In adults, the average age of diagnosis is 40 years of age, and children usually start between 5 and 14 years of age. In children, clinical onset is mostlymild and often begins with the involvement of the proximal muscles. The most helpful feature in the diagnosis of JDM is skin findings with typical involvement. This case is presented for the purpose of reviewing and reminding the patient that the in-cidence of juvenile dermatomyositis uncommon is very rare, especially the pediatric patients who come with skin lesions, in order to make early diagnosis of the systemic examination, especially muscle system examination.

Keywords

Juvenile dermatomyosis, child, gottron papules, heliotropic rash

Çocuk Acil Servisinde Tanısı Yeni Konulan Dermatomiyozit Olgu Sunumu

Abstract

Öz

Jüvenil Dermatomiyozit (JDM), spesifik deri lezyonları olan inflamatuvar bir miyopatidir. Erişkindeki görülme sıklığı 10/10,000,000 iken, çocuklardaki görülme sıklığı ise 3.2/10,000,000’dur. Etiyolojisi tam olarak bilinmemekle birlikte çoğu kez dokuuyumluluk antijenleri, çevresel faktörler (virus, ilaç, vb.) ve otoimmünite sorumlu tutulmaktadır. Erişkinlerde ortalama tanı konulma yaşı 40 yaş iken, çocuklarda sıklıkla 5–14 yaşları arasında başlamaktadır. Çocuklarda klinik başlangıçlar çoğunlukla sinsidir ve çoğu kez proksimal kasların tutulumlarıyla başlamaktadır. JDM’in tanı konulmasında en yardımcı özelliği tipik tutulumlarla giden cilt bulgularıdır. Bu vaka, sık görülmeyen jüvenil dermatomiyozitin iki yaşında başlamasının oldukça nadir olması, özellikle cilt lezyonları ile birlikte gelen pediatrik hastaların da tüm sistemik muayenesinin özellikle de kas sistem muayenesinin detaylı yapılarak hastalığın atlanmayıp erken tanısının konulabilmesi için literatür eşliğinde gözden geçirilmesi ve hatırlatılması amacıyla sunulmuştur.

Keywords

Jüvenil Dermatomiyozis, çocuk, gottron papülleri, heliotropikdöküntü

References

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