Abstract

RODRIGUEZ LOPEZ, Julio; ARIOSA ORTIZ, Karina; GEORGE CARRION, Wilberto  and  BELL CASTILLO, Josefa. Dermatomyositis in an adult. MEDISAN [online]. 2014, vol.18, n.4, pp. 575-581. ISSN 1029-3019.

The case report of a 37 year adult is presented who, at the end of 2010 had muscle weakness and fever, which progressively worsened when fatigue increased and respiratory distress emerged. In the 2012 he was admitted in critical condition in the Intensive Care Unit from "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital, due to a multiorgans damage. The epidemiological records were studied to determine some infectious cause, and the treatment with antimicrobials, steroids and immunoglobulines was applied; later on it was evaluated by a multidisciplinary team which suggested the existence of systemic lupus erythematous. Although the patient showed improvement, he had periodic fevers, so that he was reevaluated and a dermatomyositis was diagnosed

Keywords : dermatomyositis; idiopathic inflammatory myopathy; electromiogram; muscle enzymes; muscle biopsy; secondary health care.

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