Cutaneous manifestations of dermatomyositis characterized by myositis-specific autoantibodies [version 1; peer review: 3 approved]

Dermatomyositis (DM) is an inflammatory myopathy with characteristic skin manifestations, the pathologies of which are considered autoimmune diseases. DM is a heterogeneous disorder with various phenotypes, including myositis, dermatitis, and interstitial lung disease (ILD). Recently identified myos...

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Main Authors: Naoko Okiyama, Manabu Fujimoto
Format: Article
Language:English
Published: F1000 Research Ltd 2019-11-01
Series:F1000Research
Online Access:https://f1000research.com/articles/8-1951/v1
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author Naoko Okiyama
Manabu Fujimoto
author_facet Naoko Okiyama
Manabu Fujimoto
author_sort Naoko Okiyama
collection DOAJ
description Dermatomyositis (DM) is an inflammatory myopathy with characteristic skin manifestations, the pathologies of which are considered autoimmune diseases. DM is a heterogeneous disorder with various phenotypes, including myositis, dermatitis, and interstitial lung disease (ILD). Recently identified myositis-specific autoantibodies have been associated with distinct clinical features. For example, anti-melanoma differentiation-associated protein 5 antibodies have a high specificity for clinically amyopathic DM presenting rapidly progressive ILD. Furthermore, anti-transcriptional intermediary factor 1γ antibodies found in patients with juvenile and adult DM are closely correlated with malignancies, especially in elderly patients. Finally, patients with anti-aminoacyl-transfer RNA synthetase antibodies share characteristic clinical symptoms, including myositis, ILD, arthritis/arthralgia, Raynaud’s phenomenon, and fever; thus, the term “anti-synthetase syndrome” is also used. With a focus on the characteristic cutaneous manifestations in each subgroup classified according to myositis-specific autoantibodies, we introduce the findings of previous reports, including our recent analysis indicating that skin eruptions can be histopathologically classified into myositis-specific autoantibody-associated subgroups and used to determine the systemic pathologies of the different types of antibody-associated DM.
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spelling doaj.art-8c941a2ca1794f3cae15ae21e17215192022-12-22T01:07:34ZengF1000 Research LtdF1000Research2046-14022019-11-01810.12688/f1000research.20646.122708Cutaneous manifestations of dermatomyositis characterized by myositis-specific autoantibodies [version 1; peer review: 3 approved]Naoko Okiyama0Manabu Fujimoto1Department of Dermatology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, 305-8575, JapanDepartment of Dermatology, Integrated Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, 565-0871, JapanDermatomyositis (DM) is an inflammatory myopathy with characteristic skin manifestations, the pathologies of which are considered autoimmune diseases. DM is a heterogeneous disorder with various phenotypes, including myositis, dermatitis, and interstitial lung disease (ILD). Recently identified myositis-specific autoantibodies have been associated with distinct clinical features. For example, anti-melanoma differentiation-associated protein 5 antibodies have a high specificity for clinically amyopathic DM presenting rapidly progressive ILD. Furthermore, anti-transcriptional intermediary factor 1γ antibodies found in patients with juvenile and adult DM are closely correlated with malignancies, especially in elderly patients. Finally, patients with anti-aminoacyl-transfer RNA synthetase antibodies share characteristic clinical symptoms, including myositis, ILD, arthritis/arthralgia, Raynaud’s phenomenon, and fever; thus, the term “anti-synthetase syndrome” is also used. With a focus on the characteristic cutaneous manifestations in each subgroup classified according to myositis-specific autoantibodies, we introduce the findings of previous reports, including our recent analysis indicating that skin eruptions can be histopathologically classified into myositis-specific autoantibody-associated subgroups and used to determine the systemic pathologies of the different types of antibody-associated DM.https://f1000research.com/articles/8-1951/v1
spellingShingle Naoko Okiyama
Manabu Fujimoto
Cutaneous manifestations of dermatomyositis characterized by myositis-specific autoantibodies [version 1; peer review: 3 approved]
F1000Research
title Cutaneous manifestations of dermatomyositis characterized by myositis-specific autoantibodies [version 1; peer review: 3 approved]
title_full Cutaneous manifestations of dermatomyositis characterized by myositis-specific autoantibodies [version 1; peer review: 3 approved]
title_fullStr Cutaneous manifestations of dermatomyositis characterized by myositis-specific autoantibodies [version 1; peer review: 3 approved]
title_full_unstemmed Cutaneous manifestations of dermatomyositis characterized by myositis-specific autoantibodies [version 1; peer review: 3 approved]
title_short Cutaneous manifestations of dermatomyositis characterized by myositis-specific autoantibodies [version 1; peer review: 3 approved]
title_sort cutaneous manifestations of dermatomyositis characterized by myositis specific autoantibodies version 1 peer review 3 approved
url https://f1000research.com/articles/8-1951/v1
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AT manabufujimoto cutaneousmanifestationsofdermatomyositischaracterizedbymyositisspecificautoantibodiesversion1peerreview3approved