Dermatomyositis

Question 1

MRI important to check for patchy inflammation to know where need to do the muscle biopsy

Answer 1

But Ultrasound is used more IRL because MRI is too expensive

Question 2

Perifascicular Atrophy

Answer 2

Consider dermatomyositis

Question 3

First Line treatment for dermatomyositis

Answer 3

Prednisone (but irl they give it with MTX - but if sagot sa exam prednisone)

Question 4

Usual muscle involvement in steroid induced muscle weakness

Answer 4

most common are the hip flexor muscles

Question 5

Second line treatment for dermatomyositis

Answer 5

METHOTREXATE but rule out viable pregnancy first

Question 6

Starting at 6 months of juvenile dermatomyositis MTX is used

Answer 6

They take it without steroids compared to adults who take MTX with STEROIDs together??? (double check nalang)

Question 7

Dermatomyositis usually involves which muscles

Answer 7

Starts the proximal and then the distal but usually more on proximal lang affected