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KMID : 0388220110180040324
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Journal of the Korean Rheumatism Association
2011 Volume.18 No. 4 p.324 ~ p.326
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A Case of Scleredema Associated with Dermatomyositis
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Park Jung-Hee
Lee Sang-Heon
Lee Jung-Hwa
Hong Sung-Chul
Hong Mi-Jin
Park Eu-Gene
Han Jang-Soo
Lee Cho-I
Kim So-Mi
Kim Hae-Rim
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Abstract
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Dermatomyositis (DM) is rare systemic inflammatory disease with typical skin manifestations and muscular involvement. Various skin lesions can accompany this disease, such as Gottron’s sign, Heliotrope rash, mechanic’s hands, V sign and shawl sign. Scleredema is a very rare skin manifestation in DM. We report a case of DM in a 63-year-old woman, who had scleredema on her thighs. A diagnosis of DM was established by clinical manifestation, elevated muscle enzyme levels, electromyogram measures, and muscle biopsy findings. She was successfully treated with the immunosuppressants methotrexate, cyclosporine, and steroids (low dose).
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KEYWORD
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Dermatomyositis, Scleredema, Immunosupressants
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