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Juvenile dermatomyositis: a case of delayed recognition with unusual complication of nephrocalcinosis
  1. Geminiganesan Sangeetha1,
  2. Divya Dhanabal2,
  3. Saktipriya Mouttou Prebagarane3 and
  4. Mahesh Janarthanan4
  1. 1 Pediatric Nephrology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamilnadu, India
  2. 2 Pathology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  3. 3 Pediatrics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  4. 4 Pediatric Rheumatology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Mahesh Janarthanan; maheshjanarthanan{at}hotmail.com

Abstract

Juvenile dermatomyositis (JDM) is the most common inflammatory myopathy in children and is characterised by the presence of proximal muscle weakness, heliotrope dermatitis, Gottron’s papules and occasionally auto antibodies. The disease primarily affects skin and muscles, but can also affect other organs. Renal manifestations though common in autoimmune conditions like lupus are rare in JDM. We describe a child whose presenting complaint was extensive calcinosis cutis. Subtle features of proximal muscle weakness were detected on examination. MRI of thighs and a muscle biopsy confirmed myositis. Nephrocalcinosis was found during routine ultrasound screening. We report the first case of a child presenting with rare association of dermatomyositis, calcinosis cutis and bilateral medullary nephrocalcinosis.

  • connective tissue disease
  • dermatology

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Footnotes

  • Contributors GS contributed to the design, drafting, critical revision and final approval of the article, DD contributed to pathology interpretation of the muscle biopsy slide, drafting,critical revision and final approval of the article, SMP contributed to design, drafting and final approval of the article, MJ contributed to the conception, drafting, critical revision and final approval 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.

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

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