Outcome in juvenile dermatomyositis

Vaidehi Chowdhary, Anupam Wakhlu, Amita Agarwal, Ramnath Misra

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

The clinical features, outcome and complications of juvenile dermatomyositis were studied in a tertiary care hospital by retrospective analysis of case records. Nineteen patients were treated over an 11-year period. Median age at diagnosis was 12 years (2.5-16 years). Median duration of disease prior to diagnosis was 12 months (2-96 months). Proximal muscle weakness was seen in all 19 cases, neck muscle weakness in 14, pharyngeal muscle involvement in 5 and respiratory muscle involvement in 3 cases. Heliotrope rash was seen in 9 and Gottrons rash in 8 patients. Myocarditis and GI bleed were seen in I each while interstitial lung disease was seen in 2 patients. All except one patient received prednisolone. Methotrexate was used in 13 and azathioprine in 3 patients. Eight patients are in complete remission (CR), 8 partial remission and 2 patients had no response. Complications were calcinosis in 5, contractures in 2, TB in 4 and pyogenic infections in 4 patients. Juvenile dermatomyositis needs to be recognised early and treated aggressively to improve outcome.

Original languageEnglish (US)
Pages (from-to)931-935
Number of pages5
JournalIndian Pediatrics
Volume39
Issue number10
StatePublished - Oct 1 2002
Externally publishedYes

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Keywords

  • Calcinosis
  • Connective tissue disease
  • Inflammatory myositis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Chowdhary, V., Wakhlu, A., Agarwal, A., & Misra, R. (2002). Outcome in juvenile dermatomyositis. Indian Pediatrics, 39(10), 931-935.