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KMID : 0363219760140010039
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Korean Journal of Dermatology
1976 Volume.14 No. 1 p.39 ~ p.43
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Poikilodermatomyositis
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金斗漢/Kim, Doo Han
晋洪商/趙鼎九/Chin, Hong Sang/Cho, Chung Koo
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Abstract
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The authors observed 2 cases of poikilodermatomyositis who were 16 and 10 years old female.
The former visited our dept. due to rashes on the anterior portion of right thigh with 3 months´ duration.
The skin lesion revealed mottled skin pigmentation, telangiectasia, atrophy, and cigarrette paper like wrinklings.
On the palpation, hardness and tenderness in the lesion were felt.
The latter visited our dept. due to weakness of the right lower extremity for 3years.
The skin lesion revealed the same feature as the former but more prominent.
Histophthologically, P.V.A. patterns are seen in the both skin lesions.
The epidermis shows moderate atrophy of St. malphigi and flattening of rete ridges.
The dermis is edematous, vascular dilatations, and cellular infiltrations, most of lymphocytes, around the blood vessels.
The muscle biopsies for the Quardriceps Femoris show Dermatomyositis patterns which the muscle bundles are degenerative changes and many cellular infiltrations, chiefly of lymphocytes, are seen between the muscle bundles.
Diagnosis was confirmed by the clinical and histological pictures.
These patients were markedly improved by the prednisolone therapy.
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