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Severe Calcinosis Cutis with Cutaneous Ulceration in Juvenile Dermatomyositis.

Meher, Bijay Kumar; Mishra, Pravakar; Sivaraj, Pradeep; Padhan, Prasanta.

Indian Pediatr ; 2014 Nov; 51(11): 925-927

Artículo en Inglés | IMSEAR | ID: sea-170917

Background:

Calcinosis cutis is usually seen in long standing and untreated cases of juvenile dermatomyositis. Case characteristics 7-year-old girl with severe calcinosis cutis who developed cutaneous ulceration, rash and myopathy. Observation Myopathic changes in EMG, muscle edema in MRI, elevated muscle enzymes and Jo-1 positive antibodies.

Outcome:

Treatment with prednisolone and methotrexate resulted in improvement of the lesion. Message Calcinosis cutis may be a presenting feature of juvenile dermatomyositis even in the absence of characteristic findings of rash and weakness.