Challenges and insights: a case report on refractory dermatomyositis

Authors

  • Athul H. Department of Pharmacy Practice, Nazareth College of Pharmacy, Othera, Thiruvalla, Kerala, India https://orcid.org/0009-0007-5995-6401
  • Akshara K. R. Department of Pharmacy Practice, Nazareth College of Pharmacy, Othera, Thiruvalla, Kerala, India
  • Angel Sona Department of Rheumatology, Believers Church Medical College Hospital, Thiruvalla, Kerala, India
  • Vishnu S. Chandran Department of Rheumatology, Believers Church Medical College Hospital, Thiruvalla, Kerala, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20242324

Keywords:

Dermatomyositis, Rituximab, IVIG, Refractory disease

Abstract

Dermatomyositis is a rare inflammatory myopathy known for its unique skin symptoms and muscle inflammation leading to proximal muscle weakness. It can be classified as idiopathic, juvenile dermatomyositis, or amyopathic dermatomyositis in adults, and may be associated with solid organ tumors. The pathophysiology of the disease is most likely influenced by immune-related variables, but genetic and environmental factors may also play a significant role. The majority of patients who receive immunosuppressive medication treatment report success, but there are chances of relapse. We report a case of dermatomyositis relapse that is refractory to pulse therapy and methotrexate.

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Published

2024-08-27