첫 증상으로 피부궤양이 나타난 소아 피부근염Juvenile Dermatomyositis Presenting as Deep Skin Ulcerations as an Initial Manifestation
- Other Titles
- Juvenile Dermatomyositis Presenting as Deep Skin Ulcerations as an Initial Manifestation
- Authors
- 권선용; 채진경; 박상현; 고주연; 박석돈; 박건
- Issue Date
- 2014
- Publisher
- 대한피부과학회
- Keywords
- Juvenile dermatomyositis; Skin ulceration
- Citation
- Korean Journal of Dermatology, v.52, no.3, pp.169 - 172
- Indexed
- SCOPUS
KCI
- Journal Title
- Korean Journal of Dermatology
- Volume
- 52
- Number
- 3
- Start Page
- 169
- End Page
- 172
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/161030
- ISSN
- 0494-4739
- Abstract
- Juvenile dermatomyositis is a common idiopathic inflammatory myopathy in childhood and is characterized by symmetricproximal muscle weakness and specific cutaneous manifestations. We here report on a 12-year-old boy whopresented with violaceous maculopatches with multiple deep skin ulcerations on the right arm and lower back 4months ago. One month after the initial visit, he had difficulty climbing stairs and elevating his arms above thehead. Laboratory tests showed elevation of the serum levels of skeletal muscle enzymes, and electromyogram andmuscle biopsy indicated myopathy. Histopathological analysis of the ulceration indicated necrotizing vasculitis andcalcification. Based on these findings, his condition was diagnosed as juvenile dermatomyositis. We believe that thiscase is unique because of the difficulty in diagnosing the condition, as skin ulceration is a rare cutaneous manifestationof dermatomyositis.
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