Publication: Dermatomyositis in an Elderly with Respiratory Presentation: A Case Report
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Dermatomyositis is an idiopathic inflammatory disease that affects the skin and proximal skeletal muscles. To our best knowledge, there are very few cases of Dermatomyositis reported in Nepal and almost none with respiratory manifestation. We present to you the case of dermatomyositis complicated with interstitial lung disease of a 74 years old male patient with a three-week history of generalized weakness, weight loss, Gottron's papule, and heliotrope rash, with features of interstitial lung disease such as shortness of breath, fever, and productive cough, later confirmed by high-resolution computed tomography. We monitored his serum creatine kinase/creatine phosphokinase level for two consecutive days which showed a progressive increase (281 U/L to 290 U/L). His antinuclear antibody test was positive. He was managed with standard treatment of dermatomyositis. This report might help understand the presentation of disease in our setting which can help in early diagnosis and early initiation of treatment.
Description
Srijana Maharjan
Sumeru City Hospital, Pulchowk, Lalitpur, Nepal
https://orcid.org/0000-0002-9720-7547
Uma Giri
Department of Dermatology and Venereology, National Academy of Medical Sciences, Kathmandu, Nepal
Anushree Jha
Star Hospital, Sanepa, Lalitpur, Nepal
https://orcid.org/0000-0002-4738-6479
Roshan Rijal
Sumeru City Hospital, Pulchowk, Lalitpur, Nepal
https://orcid.org/0000-0001-9251-4401
Roshani Bista
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
https://orcid.org/0000-0002-4771-820X
Andi Tamang Lama
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
https://orcid.org/0000-0001-6261-3302
Keywords
case reports, dermatomyositis, interstitial, lung diseases, Nepal.