When muscle and skin are involved: a case report of dermatomyositis

Abstract

Introduction: Dermatomyositis is an inflammatory myopathy with characteristic cutaneous manifestations and a prevalence of 1-10 per million adults. Timely recognition has prognostic implications. The general practitioner has an important role to play in both diagnosis and follow-up of the patient. Case report: A 50 year-old woman with a previous history of subclinical hypothyroidism came to her Family Physician complaining of muscle weakness and redness of the face and neck. Dermatomyostitis was suspected and laboratory tests showed significant elevation of creatine kinase and transaminases. She was referred to Internal Medicine for consultation. Additional tests confirmed the initial suspicion. She began treatment with corticosteroids with gradual improvement in her condition. She returned to her Family Physician to obtain a renewal of the certificate of incapacity for work. This was opportunity to explore ways to help the patient cope with the disease. Comment: This is a rare disease with a prevalence of 1-10 cases per million. Early recognition and treatment of dermatomyositis are important in decreasing morbidity from systemic complications. The association of dermatomyositis with other connective tissue diseases and neoplasms gives greater importance to this diagnosis. For the Family Physician, care is not limited only to the physical manifestations. Dealing with all aspects of the disease and helping patients adapt to it are equally important.