TAILIEUCHUNG - Báo cáo y học: " Dermatomyositis presenting with symptomatic dermographism and raised troponin T: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Dermatomyositis presenting with symptomatic dermographism and raised troponin T: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Dermatomyositis presenting with symptomatic dermographism and raised troponin T a case report Kartini F Rahim and Robert S Dawe Address Department of Dermatology Level 8 Ninewells Hospital Dundee DD1 9SY UK Email KFR - farahkartini@ RSD - Corresponding author Received 18 June 2008 Accepted 23 January 2009 Published 14 July 2009 Journal ofMedical Case Reports 2009 3 7319 doi 1752-1947-3-7319 This article is available from http jmedicalcasereports article view 7319 2009 Rahim and Dawe licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Dermatomyositis 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 presentation A 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. Conclusion Symptomatic dermographism may be a presenting feature of dermatomyositis. Dermatomyositis is one of many conditions that can result in a raised troponin T. Introduction When it presents in its classical form dermatomyositis is easy to diagnose with typical redness and scaling overlying the knuckles purple-red discolouration especially about the upper eyelids and often associated with some eyelid oedema redness over the upper back and shoulders the shawl sign along .

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