A case of Wong-type dermatomyositis treated with rituximab and IVIG

© 2020 The Australasian College of Dermatologists..

A 37-year-old woman presented to our rheumatology-dermatology clinic with a rash, muscle weakness and fatigue. She has had prior diagnoses of cutaneous lupus and lichen planus based on skin biopsies. She did not respond to topical steroids, hydroxychloroquine and dapsone. Clinically, she had sharply demarcated photo-distributed erythema over the upper back, chest and upper arms, along with hyperkeratotic follicular papules on bilateral upper arms, shoulders, posterior neck, behind the ears, chest including breasts, abdomen and right buttock. Investigations revealed a high titre ANA, elevated creatinine kinase, aldolase and positive anti-MJ/nuclear matrix protein 2 (NXP-2). A skin biopsy showed findings of connective tissue disease. The diagnosis of Wong-type dermatomyositis was made. She responded to therapy with mycophenolate mofetil, rituximab and IVIG.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:62

Enthalten in:

The Australasian journal of dermatology - 62(2021), 1 vom: 15. Feb., Seite e86-e87

Sprache:

Englisch

Beteiligte Personen:

Argobi, Yahya [VerfasserIn]
Fedeles, Flavia [VerfasserIn]
Schoenfeld, Sara R [VerfasserIn]

Links:

Volltext

Themen:

4F4X42SYQ6
Case Reports
Dermatomyositis
Discoid lupus
Follicular
Glucocorticoids
Hyperkeratotic
Immunoglobulins, Intravenous
Immunologic Factors
Journal Article
PRP
Prednisone
Rituximab
VB0R961HZT
Wong-type

Anmerkungen:

Date Completed 27.10.2021

Date Revised 27.10.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/ajd.13393

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312482531