alexa Amyopathic Dermatomyositis with Interstitial Lung Disease: A Rare Type of Dermatomyositis with Accelerated Mortality Rate | OMICS International | Abstract
ISSN: 2161-1149

Rheumatology: Current Research
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

Amyopathic Dermatomyositis with Interstitial Lung Disease: A Rare Type of Dermatomyositis with Accelerated Mortality Rate

Margaret B Alba1*, Evelyn A Esposo1 and Evan Glenn S Vista2

1Department of Medicine, St. Luke’s Medical Center, Quezon City, Philippines

2Section of Rheumatology, Department of Medicine, Quezon City, Philippines

*Corresponding Author:
Margaret B. Alba
Department of Medicine, St. Luke’s Medical Center
Quezon City, Philippines
Tel: +63932-857-78-74
E-mail: [email protected]

Received date: May 29, 2013; Accepted date: July 16, 2013; Published date: July 23, 2013

Citation: Alba MB, Esposo EA, Vista EGS (2013) Amyopathic Dermatomyositis with Interstitial Lung Disease: A Rare Type of Dermatomyositis with Accelerated Mortality Rate. Rheumatol Curr Res S16:004. doi: 10.4172/2161-1149.S16-004

Copyright: © 2013 Alba MB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Background: It was observed that there have been cases with pathognomonic skin lesions of Dermatomyositis, but without muscle weakness and abnormal skeletal muscle enzymes, hence they did not satisfy the Peter and Bohan criteria, and management became undirected. Until in 1993, Euwer and Sontheimer published the diagnostic criteria for Amyopathic Dermatomyositis, a type of Dermatomyositis, without proximal muscle weakness and elevated skeletal muscle enzymes.

Setting: St. Luke’s Medical Center, Quezon City, Philippines.

Case: We report here a case of a 59-year old female who was admitted for shortness of breath presenting with hyperpigmented papules over the metacarpophalangeal joints. One week before admission, fever, productive cough, and progressive shortness of breath developed prompting hospital admission. She arrived at the ER tachypneic with oxygen saturation of 55% at room air. She had intercostal retractions and crackles on both lung fields. There were violaceous macular rashes on the metacarpophalangeal, and proximal interphalangeal joints of both hands. Neurological examination was normal.

Diagnostics: Chest CT scan revealed diffuse ground glass opacities with interstitial thickening consistent with Interstitial Lung Disease (ILD). The serum Creatine Kinase level and electromyography were normal. Skin biopsy showed perivascular lymphohistiocytic infiltrates, suggestive of dermatomyositis.

Conclusion: Dermatomyositis is rare and the Amyopathic type is more uncommon (incidence of 2.08/1,000,000 population). Recognizing it can be a challenge. Amyopathic Dermatomyositis (AMD) patients have 80% survival in less than a year and drops to 60% if ILD develops. Hence, early diagnosis and aggressive management are imperative.


Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

bornova escort

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version