Dermatomyositis

Question 1

Lesions

Answer 1

violaceous(heliotrope)inflammatory changes+/- edema of the eyelids and periorbital area; erythema o the face, neck, and upper trunk; and flat-topped violaceous papules over the knuckles.

Question 2

Adult onset DM may be associated w?

Answer 2

Internal malignancy

Question 3

Elevation of what tests in chemistry and urine?

Answer 3

24 hr crea exrection

Creatine phosphokinase, Aldolase, LDH, glutamic oxaloacetic transaminase

Question 4

ECG findings.

Answer 4

Myocarditis

Question 5

Criteria for diagnosis. How to diagnose

Answer 5

DIAGNOSIS

Skin signs plus proximal muscle weakness with two to three laboratory criteria

Question 6

Treatment (systemic)

Answer 6

PREDNISONE 0.5 to 1 mg/kg body weight per day best combined a azathioprine 2-3mg/kg/day