A rare case of suspected lupus erythematosus panniculitis as the presenting skin feature of juvenile dermatomyositis: A case report

Juvenile dermatomyositis is a rare autoimmune myopathy of childhood, associated with systemic vasculopathy, primarily affecting the capillaries. Panniculitis is seen histologically in about 10% of patients with dermatomyositis; however, its clinical presentation is rare, with only 30 cases presented...

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Main Authors: Dylan C Ginter, Michele L Ramien, Marie-Anne Brundler, Laura C Swaney, Paivi MH Miettunen, Nadia JC Luca
Format: Article
Language:English
Published: SAGE Publishing 2022-03-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X221086317
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author Dylan C Ginter
Michele L Ramien
Marie-Anne Brundler
Laura C Swaney
Paivi MH Miettunen
Nadia JC Luca
author_facet Dylan C Ginter
Michele L Ramien
Marie-Anne Brundler
Laura C Swaney
Paivi MH Miettunen
Nadia JC Luca
author_sort Dylan C Ginter
collection DOAJ
description Juvenile dermatomyositis is a rare autoimmune myopathy of childhood, associated with systemic vasculopathy, primarily affecting the capillaries. Panniculitis is seen histologically in about 10% of patients with dermatomyositis; however, its clinical presentation is rare, with only 30 cases presented in the literature to date. The histopathology overlaps with other inflammatory disease states, and is almost identical to the panniculitis seen in lupus erythematous panniculitis. In the cases with both panniculitis and dermatomyositis, skin and muscle inflammation is usually the first clinical manifestation. We present a case of a 16-year-old female with panniculitis as the initial presenting feature of juvenile dermatomyositis in the context of a prior diagnosis of indeterminate colitis.
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spelling doaj.art-6e1b26f27e2645279b78f853a04ec95c2022-12-22T03:18:26ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2022-03-011010.1177/2050313X221086317A rare case of suspected lupus erythematosus panniculitis as the presenting skin feature of juvenile dermatomyositis: A case reportDylan C Ginter0Michele L Ramien1Marie-Anne Brundler2Laura C Swaney3Paivi MH Miettunen4Nadia JC Luca5Cumming School of Medicine, University of Calgary, Calgary, AB, CanadaDivision of Community Pediatrics, Department of Pediatrics, and Division of Dermatology, Department of Medicine, Alberta Children’s Hospital, University of Calgary, Calgary, AB, CanadaDepartment of Pathology and Laboratory Medicine and Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, CanadaDivision of General Pediatrics, Department of Pediatrics, Faculty of Medicine, The University of British Columbia, Vancouver, BC, CanadaSection of Pediatric Rheumatology, Department of Pediatrics, Alberta Children’s Hospital, University of Calgary, Calgary, AB, CanadaSection of Pediatric Rheumatology, Department of Pediatrics, Alberta Children’s Hospital, University of Calgary, Calgary, AB, CanadaJuvenile dermatomyositis is a rare autoimmune myopathy of childhood, associated with systemic vasculopathy, primarily affecting the capillaries. Panniculitis is seen histologically in about 10% of patients with dermatomyositis; however, its clinical presentation is rare, with only 30 cases presented in the literature to date. The histopathology overlaps with other inflammatory disease states, and is almost identical to the panniculitis seen in lupus erythematous panniculitis. In the cases with both panniculitis and dermatomyositis, skin and muscle inflammation is usually the first clinical manifestation. We present a case of a 16-year-old female with panniculitis as the initial presenting feature of juvenile dermatomyositis in the context of a prior diagnosis of indeterminate colitis.https://doi.org/10.1177/2050313X221086317
spellingShingle Dylan C Ginter
Michele L Ramien
Marie-Anne Brundler
Laura C Swaney
Paivi MH Miettunen
Nadia JC Luca
A rare case of suspected lupus erythematosus panniculitis as the presenting skin feature of juvenile dermatomyositis: A case report
SAGE Open Medical Case Reports
title A rare case of suspected lupus erythematosus panniculitis as the presenting skin feature of juvenile dermatomyositis: A case report
title_full A rare case of suspected lupus erythematosus panniculitis as the presenting skin feature of juvenile dermatomyositis: A case report
title_fullStr A rare case of suspected lupus erythematosus panniculitis as the presenting skin feature of juvenile dermatomyositis: A case report
title_full_unstemmed A rare case of suspected lupus erythematosus panniculitis as the presenting skin feature of juvenile dermatomyositis: A case report
title_short A rare case of suspected lupus erythematosus panniculitis as the presenting skin feature of juvenile dermatomyositis: A case report
title_sort rare case of suspected lupus erythematosus panniculitis as the presenting skin feature of juvenile dermatomyositis a case report
url https://doi.org/10.1177/2050313X221086317
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