A | B | C | D | |
---|---|---|---|---|
Sex | Female | Male | Female | Male |
Age at disease onset | 43 | 77 | 35 | 62 |
Fever | Yes | No | No | No |
Heliotrope rash | Yes | No | Yes | No |
Gottron papules | Yes | No | No | No |
Skin ulceration | No | No | No | Yes |
Joint disease (J) | No | No | RA like | Palindromic like |
Raynaud's disease | No | No | No | No |
Muscular disease (M) | No | No | Yes | No |
Pulmonary disease (P) | Bronchiolitis | Interstitial lung disease | No | Interstitial lung disease |
Cardiac disease (Card) | No | Arrhythmias | Sinus tachycardia | No |
Aldolase (N<7) | Normal | NA | 11 | 14,6 |
ESR/CRP mg/dL | 30/4,5 | 41/13,7 | 102/8,1 | 50/1,8 |
Ferritin (30–400 ng/ml) | 1253 | NA | 225 | 2437 |
Electromyography | NA | NA | Normal | NA |
Muscle biopsy | NA | NA | Miopathy | NA |
Skin biopsy | DM | NA | Nonspecific | DM |
Treatment | CC + CPM + TACR + IVIG | CC | CC + MTX + HCQ | CC + CPM + TACR |
Outcome (months) | Death | Death | Clinical response (18 m) | Alive (16 m) |
RA = Rheumatoid Arthritis; NA = Not Avalaible; ANA = Antinuclear Antibodies; DM = Dermatomyositis; CC = Corticosteroids; CPM = Cyclophosphamide; TACR = Tacrolimus; IVIG = Intravenous Immunoglobulins; MTX = Methotrexate; HCQ = Hydroxychloroquine.