Lesson of the month
Ophthalmic manifestations of dermatomyositis
Leeds
General Infirmary, Leeds
Correspondence to: Professor P Emery, RRRU, University of Leeds, 36 Clarendon Road, Leeds LS2 9NZ.
Accepted for publication 12 May 1998
| The first 150 words of the full text of this article appear below. |
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Case report |
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A 25 year old woman presented to her general practitioner with an urticarial rash on her chest. Three weeks later it had spread to her cheeks and forehead, but sparing the eyelids, to the shoulders and dorsum of the hands. This was associated with increasing fatigue, mouth ulceration, peri-ungual erythema, and arthralgia of the wrists and ankles. She had been previously healthy, was taking no medication and the family history was unremarkable. A diagnosis of systemic lupus erythematosus (SLE) was made by a dermatologist and oral prednisolone was started at 40 mg/day.
Investigations were as follows: haemoglobin 14.2 g/dl, leucocytes 6.4 × 109/l, platelets 100 × 109/l, erythrocyte
sedimentation rate (ESR) 7 mm 1st h, antinuclear antibody (ANA),
deoxyribonucleic acid (DNA), anti-cardiolipin antibodies, rheumatoid
factor (RF), and extractable nuclear antigens (ENA), including Jo-1,
were all negative. Immunoglobulin concentrations were normal. One week
later, because of worsening myalgia, the creatine kinase (CK) was
measured and found to
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This article has been cited by other articles:
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Foroozan, R.
(2004). Visual loss from optic neuropathy in dermatomyositis. Rheumatology (Oxford)
43: 391-393
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