A Case of Childhood Dermatomyositis with Scalp Dermatitis / 대한피부과학회지

Dermatomyositis is a multiple disease characterized by inflammatory myopathy with specific cutaneous findings including heliotroph erythema, Gottron's papules, lupus erythematosus-like skin lesions, and cutaneous calcinosis. We report a case of childhood dermatitis that developed in a 9-year-old girl. Skin lesion showed malar erythema, Gottron's papule, cutaneous calcinosis, poikiloderma, and scalp dermatitis. These were compatible with dermatomyositis. and other clinical, laboratory, and histopathologic findings supported the diagnosis of dermatomyositis. She was treated with methotrexate, oral corticosteroid, and hydroxychloroquine.

Two Cases of Childhood Dermatomyositis / 대한피부과학회지

Childhood dermatomyositis seems to differ from the adult form by the presence of vasculitis and the late development of calcinosis. We report two patients with childhood dermatomyositis who were clinically characteristic and successfully treated with the followings. The first patient improved with intravenous gammaglobulin. The second patient improved with oral prednisone, methotrexate, and hydroxychloroquine.