A difficult case of juvenile dermatomyositis complicated by thrombotic microangiopathy and purtscher-like retinopathy
نویسندگان
چکیده
منابع مشابه
A difficult case of juvenile dermatomyositis complicated by thrombotic microangiopathy and purtscher-like retinopathy
Results A 16 year old girl was admitted for fever, diffuse pain, asthenia, sore throat and generalised papular rash. Initial work-up showed leukopenia, elevation in creatine phosphokinase (CK) (650 U/l) and transaminase. Epstein-Barr Virus (EBV) serology was compatible with acute infection and the initial treatment was symptomatic. Subsequent deterioration of general conditions, progressive pol...
متن کاملThrombotic microangiopathy in juvenile dermatomyositis
Objectives and study A 4year-old boy was admitted to our hospital because of progressive proximal muscular weakness of 4 weeks duration, heliotrope rash, erythematous skin lesions in the trunk and limbs and febrile fever. The muscle enzymes were elevated: creatine kinase 7,056 IU/L (0– 170), aldolase 40.3 U/L (0–8), aspartate transaminase 601 U/L (10–37), alanine transaminase 289 U/L (10–37). T...
متن کاملCase of juvenile dermatomyositis (JDM), thrombotic thrombocytopenic purpura (TTP), and Purtscher retinopathy
Methods Here we describe a previously healthy and athletic 12 year old female who was diagnosed with JDM following a period of two weeks of pruritic rash, fever, headaches, muscle pain and weakness. Her work-up was significant for elevated muscle enzymes and an abnormal MRI of bilateral quadriceps that demonstrated increased signal intensity. The patient was hospitalized for intravenous pulse m...
متن کاملPurtscher-like retinopathy associated with dermatomyositis
BACKGROUND To report a rare case of bilateral Purtscher-like retinopathy in a Chinese female patient with dermatomyositis. CASE PRESENTATION An 18-year-old woman with lower extremity muscle weakness was admitted due to decreased vision of both eyes for two weeks. Ophthalmic examination revealed violaceous eruption on eyelids with swelling. Ocular fundus examination revealed multiple cotton wo...
متن کاملCryoglobulinemia revealed by a Purtscher-like retinopathy
PURPOSE To demonstrate the importance of collaboration between ophthalmologists and internists. DESIGN Cryoglobulinemia is a systemic vascularite. Ophthalmologic complications are rare and not well known. Purtscher-like retinopathy may occur in this context. CASE REPORT We report the case of a patient who presented a severe visual loss in the course of a hepatitis C. The ophthalmic examinat...
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ژورنال
عنوان ژورنال: Pediatric Rheumatology
سال: 2014
ISSN: 1546-0096
DOI: 10.1186/1546-0096-12-s1-p275