Dermatomyositis (DM) is an
idiopathic inflammatory myopathy, characterized by
inflammation of the proximal
skeletal muscles and typical
skin manifestations, which results in symmetric
muscle weakness. A 43-year-old man was presented with
skin rash and left
leg weakness, and he had a
history of
poliomyelitis. Initially, he was diagnosed as having
post-polio syndrome (PPS) due to unilateral
muscle weakness and a result of an the
electromyography (EMG), which had shown patterns of PPS. After 4 months with
conservative therapy for PPS, weakness of bilateral
upper arms had developed and
skin rashes on his entire body had aggravated and progressed. He was diagnosed as having
dermatomyositis, based on elevated
muscle enzyme levels, typical
skin rashes, and typical EMG findings, which indicated
muscle disease. When a
patient with previous
poliomyelitis has a newly developed
muscle weakness or
pain, we should consider various possible causes other than PPS.