Author/Authors :
HASSAS YEGANEH, Mehrnoush Department of Pediatrics - Division of Pediatric Rheumatology - Shahid Beheshti University of Medical Sciences, Tehran- Iran , AHMADI, Pooria Medical School - Shahid Beheshti University of Medical Sciences , Tehran, Iran , NILIPOUR, Yalda Padiatric Pathology Research center - research institute for children’s health - Shahid Beheshti University of Medical Sciences, Tehran, Iran , MOUSAVI KHORSHIDI, Mohadese Department of Pediatric - Shahid Beheshti University of Medical Sciences, Tehran, Iran , SINAEI, Reza Pediatric Rheumatology - Kerman University of Medical Sciences, Kerman, Iran , FATHI, Mohammad Reza Pediatric Rheumatology - Ahwaz Jundishapur University of Medical Sciences, Ahvaz, Iran , SHIARI, Reza Department of Pediatrics - Division of Pediatric Rheumatology - Shahid Beheshti University of Medical Sciences, Tehran- Iran
Abstract :
Juvenile dermatomyositis (JDM) is a rare idiopathic inflammatory
disease, which usually presents with skin rashes along with muscle
weakness. We report a case of JDM in a 10- year-old girl with no skin
manifestations
presenting with progressive muscle weakness and fatigue. Further
laboratory investigations, along with a muscle biopsy, confirmed
the diagnosis of adermatopathic JDM. The patient was treated
with intravenous immunoglobulin, corticosteroids, methotrexate,
hydroxychloroquine, pamidronate, and rituximab.
Following treatment, patients’ symptoms subsided, and she gained
normal muscular strength over a year.