

Dermatomyositis
Skin rash along with
ALSANGEDY
muscle weakness in
both upper arms or
BULLETS
thighs
FOR PACES
 Heliotrope (a purplish FOR EASY PASSING PACES FROM
color) THR 1ST ATTEMPT
 Can occur around the Dr. Ibrahim Alsangedy
eyes MRCP-UK
MRCPE
 On the upper chest or
back "shawl"
 "V-sign" above the
breasts
 Gottron's sign
 Gottron's papules over
bony prominences
ALSANGEDY B ULLETS FOR PACES

 Made worse by
exposure to sunlight
 Often very itchy,
painful, and may bleed
 Progressively
worsening proximal
muscle weakness
 30% of people have
swollen, painful joints
Classification Management
 Dermatomyositis is a form of  There is no cure for
systemic connective tissue ALSANGEDY BULLETS FOR PACES dermatomyositis
disorder  The standard treatment for
 It has also been classified as an dermatomyositis is prednisone
isangedy@gmail.com
idiopathic inflammatory  Immunosuppressant drugs, such
myopathy 00965 69691034 as azathioprine and
 There is a form of this disorder Facebook page: - MRCP PACES methotrexate, may reduce
that strikes children, known as from the 1st attempt inflammation in people who do
juvenile dermatomyositis not respond well to prednisone
Facebook group: - MRCP PACES  Periodic treatment using
Causes from the 1st attempt intravenous immunoglobulin can
also improve recovery
 The cause is unknown
 Physical therapy is usually
 May result from viral infection or
recommended to prevent muscle
cancer, either of which could raise
Diagnosis atrophy and to regain muscle
an autoimmune response.
strength and range of motion
 Between 7 and 30% of
 The diagnosis of dermatomyositis is  High-protection sunscreen and
dermatomyositis arise from
based on five criteria protective clothing
cancer
 Muscle weakness  Surgery may be required to
 The most common associated
 High levels of creatinine remove calcium deposits that
cancers are ovarian cancer,
kinase cause nerve pain and recurrent
breast cancer, and lung cancer.
 Electric signalling in infections
 Malignancy in association with
muscles: erratic, repetitive  Rituximab is used when people
dermatomyositis is more
high frequency signals don't respond to other treatments
prevalent after age 60
 Muscle biopsy finding
 Some cases are inherited
abnormal muscle cell
dermatomyositis
degeneration and
regeneration
 Rashes typical of
dermatomyositis