Dermatomyositis


Dermatomyositis

Description, Causes and Risk Factors:

Abbreviation: DM.

Alternative Name: Lilac disease.

Inflammatory myopathy characterized by a skin eruption that usually precedes muscle weakness with elevated serum levels of muscle enzymes and a skin rash, typically a purplish-red erythema on the face, and edema of the eyelids and periorbital tissue.

Dermatomyositis

The real culprits of dermatomyositis is unknown. Experts think it may be due to a viral infection of the muscles or a problem with the body's immune system. Anyone can develop dermatomyositis, but it most commonly occurs in children age 6 - 16 and adults age 40 - 60. The female are more frequently affected than male.

Research into DM involves factors that may be involved, such as an autoimmune defect, an underlying cancer, genetic predisposition, the potential that the disease may be drug-induced, or that it may be triggered by either a toxic or an infectious agent.

Symptoms:

The DM rash looks patchy, dusky, and reddish or purple. It is found on the cheeks, eyelids, nose, elbow, upper chest, back, and knees. Some people also have hardened bumps under the skin (calcinosis). The skin rash and weak muscles are caused by inflammation, or swelling, in the blood vessels under the skin and in the muscles, also called vasculitis. Apart from this people with DM feels general tiredness.

Other common symptoms include.

    Difficulty swallowing.

  • Muscle weakness.

  • Shortness of breath.

Diagnosis:

Differential diagnoses include lupus erythematosus or systemic sclerosis.

It is very difficult to diagnose DM. During your clinical exam, your doctor will ask questions about your health in general, including detailed personal and family health histories.

The doctor will perform a physical exam. Tests may include:

    Bloods test to check levels of creatine phosphokinase and aldolase.

  • Electromyography (EMG).

  • Electrocardiogram (ECG).

  • Magnetic resonance imaging (MRI)

  • Muscle biopsy.

Treatment:

DM varies tremendously from patient to patient, and no one treatment works for everyone. Your physician may use a combination of drugs to treat you. The disease is treated with anti-inflammatory medicines called corticosteroids and drugs that suppress the immune system. It is extremely important that you communicate well with your doctor about your treatment and any side effects.

Apart from this regular exercise is very important to strength you muscles. Talk with your physician about supplements that are sometimes recommended for muscle strength.

Disclaimer:The above information is general information (informational purpose only, sometimes may not be accurate). The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.

DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.

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