Dermatomyositis in the elder patient: a diagnostic challenge

Authors

DOI:

https://doi.org/10.32818/reccmi.a8n2a10

Keywords:

dermatomyositis, myopathy, dysphagia

Abstract

Dermatomyositis is a rare disease characterized by an inflammatory myopathy that follows up to a progressive weakness and dysphagia in a high percentage of patients. It can frequently lead to skin lesions that may help to conclude a final diagnosis. We present the case of an 88-year-old male that was admitted to the hospital because of muscular weakness in the lower extremities, dysphagia and erythematous scaly lesions on the neck and front face of the limbs. The importance of this case is to suspect causes whose characteristics can overlap with more prevalent problems in elder patients.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Christopher-Stine L, Vleugels RA, Amato AA. Clinical manifestations of dermatomyositis and polymyositis in adults. En Targoff IN, Shefner JM, Callen J (Eds). UpToDate. Waltham, Mass.: UpToDate 2023. Accesible en: https://www.uptodate.com/contents/clinical-manifestations-of-dermatomyositis-and-polymyositis-inadults?search=r&topicRef=6418&source=see_link (último acceso may. 2023).

Vleugels RA. Cutaneous dermatomyositis in adults: Overview and initial management. En Callen J (Ed). UpToDate. Waltham, Mass.: UpToDate 2023. Accesible en: https://acortar.link/Nrao73 (último acceso may. 2023)

Martin Lois E, Gómez Coello A, Manuel Valadez Jiménez V. Dysphagia as a symptom in dermatomyositis. A clinical case. Rev Mex AMCAOF. 2017; 6(1): 11-15. Accesible en: https://www.medigraphic.com/pdfs/audiologia/fon-2017/fon171c.pdf (último acceso may. 2023).

Anquetil C, Benveniste O. Dermatomiositis. Orphanet. 2021. Accesible en: https://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=221&lng=ES (último acceso may. 2023).

Selva A, Callaghan O, Trallero E. Revisión y miositis con cuerpos de inclusión. Reumatol Clínica. 2008; 4(5): 197–206.

Betteridge Z, McHugh N. Myositis-specific autoantibodies: an important tool to support diagnosis of myositis. J Intern Med. 2016; 280(1): 8-23. doi: https://doi.org/10.1111/joim.12451 (último acceso may. 2023).

Published

2023-08-31

How to Cite

1.
Torres-Briegas M, Vega-Rodríguez VJ, Lahoz-Tornos Álvaro. Dermatomyositis in the elder patient: a diagnostic challenge . Rev Esp Casos Clin Med Intern [Internet]. 2023 Aug. 31 [cited 2024 May 17];8(2):91-3. Available from: https://www.reccmi.com/RECCMI/article/view/872