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Case report
Dermatomyositis presenting as heart failure revealed a concealed cervical malignancy: an infrequent clinical nexus
  1. Ritwik Ghosh1,
  2. Souvik Dubey2,
  3. Subhankar Chatterjee3 and
  4. Rakesh Biswas4
  1. 1Department of General Medicine, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
  2. 2Department of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research & SSKM Hospital, Kolkata, West Bengal, India
  3. 3Department of General Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
  4. 4Department of General Medicine, Kamineni Institute of Medical Sciences, Narketpally, Telangana, India
  1. Correspondence to Professor Rakesh Biswas; rakesh7biswas{at}


Dermatomyositis (DM) belongs to the spectrum of inflammatory myopathies which are a heterogeneous group of acquired disorders in which dysregulated immune system is thought to play a major pathologic role. Patients with DM generally present with characteristic skin manifestations with or without muscle weakness and pain. Although subclinical myocardial involvement in DM is well reported in literature, heart failure (HF) as its principal manifestation is extremely rare. Recognition of DM, a known paraneoplastic syndrome, should prompt clinicians to search for underlying malignancy. While gynaecological malignancies are common in association with DM, cervical cancer has rarely been heard of as an aetiology of paraneoplastic DM. We are reporting a case of DM in a postmenopausal woman presenting with advanced decompensated congestive HF with hidden squamous cell carcinoma of cervix.

  • dermatology
  • cardiovascular system
  • malignant disease and immunosuppression
  • neurology (drugs and medicines)
  • musculoskeletal and joint disorders
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  • Contributors RG and SD were involved in diagnosis and management of the case. SC did the literature search and further developed the draft of the manuscript written by RG. SD and RB critically reviewed the paper from its initial stage. All authors consented about the final form of the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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