Dermatomyositis presenting with symptomatic dermographism and raised troponin T: a case reportReport as inadecuate




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Journal of Medical Case Reports

, 3:7319

First Online: 14 July 2009Received: 18 June 2008Accepted: 23 January 2009DOI: 10.4076-1752-1947-3-7319

Cite this article as: Rahim, K.F. & Dawe, R.S. J Med Case Reports 2009 3: 7319. doi:10.4076-1752-1947-3-7319

Abstract

IntroductionDermatomyositis is an important inflammation of skin and muscles. Generalised itch is frequent in the condition; however, symptomatic dermographism has not previously been reported as a presenting feature.

Case presentationA 32-year-old Caucasian Scottish woman was diagnosed with dermatomyositis after initial presentation with symptomatic dermographism. No underlying neoplasm was found and her condition was successfully treated with systemic corticosteroids and high-dose human immunoglobulin infusions. At presentation, her troponin T and creatine phosphokinase enzymes were highly raised.

ConclusionSymptomatic dermographism may be a presenting feature of dermatomyositis. Dermatomyositis is one of many conditions that can result in a raised troponin T.

AbbreviationsALTalanine aminotransferase

AMUacute medical unit

CKcreatine phosphokinase

IVIGhigh-dose human intravenous immunoglobin

UVBultraviolet B.

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Author: Kartini F Rahim - Robert S Dawe

Source: https://link.springer.com/







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