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Challenges in early diagnosis of juvenile dermatomyositis: a brief review of the literature and a case study

https://doi.org/10.29039/1992-6499-2023-1-106-115

Abstract

   Juvenile dermatomyositis (JDM) is an autoimmune, relatively rare multisystem disease of unknown etiology, of which late diagnosis and late initiation of therapy can lead to a child's disability and even lethal outcome. The disease begins in most cases at the age of 5–12 years though can manifest itself both in earlier, and at more advanced age. This disease has a pronounced clinical polymorphism, which complicates early diagnosis and therapy. The article provides a brief overview of research carried out in recent years. A rare case of development of juvenile dermatomyositis in a teenager is considered. Attention is drawn to the complexity of staging this disease during the initial treatment for medical care. A positive dynamics of the course of the disease was shown against the background of correctly selected therapy. The importance of adherence to the prescribed treatment is indicated, the refusal of which can lead to adverse outcomes.

About the Authors

S. N. Mamedova
Azerbaijan Medical University
Azerbaijan

Sevda N. Mamedova, Cand. Sci. (Med.), Associate Professor

Baku



S. urkhay N. Musaev
Azerbaijan Medical University
Azerbaijan

Surkhay N. Musaev, Dr. Sci. (Med.), Professor

Baku



References

1. Podchernyaeva N. S., Konevina M. S., Tikhaya M. I. Modern ideas about juvenile dermatomyositis. Рart 2: activity assessment and treatment = Pediatria. 2019; 98 (5): 135–146. (In Russ.).

2. Meyer A., Meyer N., Schaeffer M., Gottenberg J. E., Geny B., Sibilia J. Incidence and prevalence of inflammatory myopathies : a systematic review // Rheumatology (Oxford). 2015. Vol. 54, no. 1. P. 50–63.

3. Bogdanov I., Kazandjieva J., Darlenski R., Tsankov В. N. Dermatomyositis : Current Concepts of Skin and Systemic Manifestations // Clin. Dermatol. 2018. Vol. 36, no. 4. P. 450–458.

4. Mamyrova G., Rider L. G., Ehrlich A., Jones O., Pachman L. M., Nickeson R., Criscone-Schreiber L. G., Jung L. K., Miller F. W., Katz J. D. Environmental factors associated with disease flares in juvenile and adult dermatomyositis // Rheumatology (Oxford). 2017. Vol. 56, no. 8. P. 1342–1347.

5. Adler B. L., Christopher-Stine L. Triggers of inflammatory myopathy : insights into pathogenesis // Discov. Med. 2018. Vol. 25, no. 136. P. 75–83.

6. Limaye V., Smith C., Koszyca B., Blumbergs P., Otto S. Infections and vaccinations as possible triggers of inflammatory myopathies // Muscle Nerve. 2017. Vol. 56, no. 5. P. 987–989.

7. Tieu J., Lundberg I. E., Limaye V. Idiopathic Inflammatory Myositis // Best Pract. Res. Clinic. Rheumatology. 2016. Vol. 30, no. 1. P. 149–168.

8. Aguilar-Vazquez A., Chavarria-Avila E., Pizano-Martinez O., Ramos-Hernandez A., Andrade-Ortega L., Rubio-Arellano E. D., Vazquez-Del Mercado M. Geographical Latitude Remains as an Important Factor for the Prevalence of Some Myositis Autoantibodies : A Systematic Review // Front Immunol. 2021. Vol. 12. Article 672008.

9. Pachman L. M., Nolan B. E., DeRanieri D., Khojah A. M. Juvenile Dermatomyositis : New Clues to Diagnosis and Therapy // Curr. Treatm. Opt. Rheumatol. 2021. Vol. 7, no. 1. P. 39–62.

10. Wu J. Q., Lu M. P., Reed A. M. Juvenile dermatomyositis : advances in clinical presentation, myositis-specific antibodies and treatment // World J. Pediatr. 2020, Vol. 16. no. 1. P. 31–43.

11. Kwiatkowska D., Reich A. The Significance of Autoantibodies in Juvenile Dermatomyositis // Biomed Research International. 2021. Vol. 2021. Article ID 5513544.

12. Barrón-Calvillo E. E., García-Romero M. T. Early-onset juvenile dermatomyositis : A report of two cases and review of the literature // Pediatr. Dermatol. 2022. Vol. 39, no. 2. P. 260–263.

13. Huber A. M. Juvenile idiopathic inflammatory myopathies // Pediatr. Clin. North. Am. 2018. Vol. 65, no. 4. P. 739–756.

14. Hee-Kyung Ryu, Hyang Sook Jeong, Yeon Woong Chung. Juvenile Dermatomyositis Presenting with Erythematous Swelling of the Upper Eyelid // Journal of the Korean Ophthalmological Society. 2021.Vol. 62, no. 5. P. 719–723.

15. Rhim J. W. Juvenile Dermatomyositis // Journal of Rheumatic Diseases. 2022. Vol. 29, no. 1. P. 14–21.

16. Tülpar S., Poyrazoglu M. H., Gündüz Z., Düşünsel R., Baştüg F. Türk Çocuklarında Juvenil Dermatomiyozit // Turk. J. Rheumatol. 2011. Vol. 26, no. 3. P. 233–238.

17. Cantez S., Gross G. J., MacLusky I., Feldman B. M. Cardiac findings in children with juvenile Dermatomyositis at disease presentation // Pediatr. Rheumatol. Online J. 2017. Vol. 15. Article 54.

18. Ghosh R., Roy D., Dubey S., Abdelrahman K., Dey A. K., Chatterjee S., Lahiri D., Ray B. K. Juvenile dermatomyositis presenting as complete heart block in a 10-year-old girl // Pediatrics and international child health. 2020. Vol. 40, no. 4. P. 251–254.

19. Golovach I. Y., Yehudina E. D. Features of Renal Involvement in Systemic Connective Tissue Diseases = J. Kidneys. 2018; 7 (4): 275–290. (In Russ.).

20. Kaleda M. I., Salugina S. O., Fedorov E. S., Anan'eva L. P. Pulmonary Involvement at Connective Tissue Systemic Diseases in Children. Voprosy sovremennoy pediatrii = Current Pediatrics. 2021; 20 (2): 134–143. (In Russ.).

21. Oshlyans'ka O. A., Omel'chenko L. İ, Slepova A. F., Gladishko O. P., İvanova V. G., Krat V. V. Case of a fatal lung disease in a child with juvenile dermatomyositis Zdorov`ya ditini = Child health. 2017; 12 (1): 75–86. (In Ukr.)

22. Wu Q., Wedderburn L. R., Mc Can L. J. Juvenile dermatomyositis : latest advances. Best Practice // Research Clinical Rheumatology. 2017. Vol. 31, no. 4. P. 535–557.

23. Huber A. M. Juvenile idiopathic inflammatory myopathies // Pediatr. Clin. North Am. 2018. Vol. 65, no. 4. P. 739–756.

24. Hoeltzel M. F., Oberle E. J., Robinson A. B., Agarwal A., Rider L. G. The presentation, assessment, pathogenesis, and treatment of calcinosis in juvenile dermatomyositis // Curr. Rheumatol Rep. 2014. Vol. 16, no. 12. P. 467.

25. Schildt E. E., De Ranieri D. Anasarca as the presenting symptom of juvenile dermatomyositis : a case series // Pediatr. Rheumatol. Online J. 2021. Vol. 19, no. 1. Article 120.

26. Bohan A., Peter J. B. Polymyositis and dermatomyositis (first of two parts) // N. Engl. J. Med. 1975. Vol. 292, no. 7. P. 344–347.

27. Tanimoto K., Nakano K., Kano S., Mori S., Ueki H., Nishitani H., Sato T., Kiuchi T., Ohashi Y. Classification criteria for polymyositis and dermatomyositis // J. Rheumatol. 1995. Vol. 22, no. 4. P. 668–674.

28. Lundberg I. E., Tjärnlund A., Bottai M., Werth V. P., Pilkington C., Visser M., Alfredsson L., Amato A. A., Barohn R. J., Liang M. H., Singh J. A., Aggarwal R., Arnardottir S., Chinoy H., Cooper R. G., Dankó K., Dimachkie M. M., Feldman B. M., Torre I. G., Gordon P., Hayashi T., Katz J. D., Kohsaka H., Lachenbruch P. A., Lang B. A., Li Y., Oddis C. V., Olesinska M., Reed A. M., Rutkowska-Sak L., Sanner H., Selva-O'Callaghan A., Song Y. W., Vencovsky J., Ytterberg S. R., Miller F. W., Rider L. G. 2017 European League Against Rheumatism / American College of Rheumatology classification criteria for adult and juvenile idiopathic inflammatory myopathies and their major subgroups // Ann. Rheum. Dis. 2017. Vol. 76, no. 12. P. 1955–1964.

29. Barth Z., Witczak B. N., Flatø B., Koller A., Sjaastad I., Sanner H. Assessment of microvascular abnormalities by nailfold capillaroscopy in juvenile dermatomyositis after medium- to long-term followup // Arthritis Care Res. (Hoboken) 2018. Vol. 70, no. 5. P. 768–776.

30. Lazarevic D., Pistorio A., Palmisani E., Miettunen P., Ravelli A., Pilkington C., Wulffraat N. M., Malattia C., Garay S. M., Hofer M., Quartier P., Dolezalova P., Penades I. C., Ferriani V. P., Ganser G., Kasapcopur O., Melo-Gomes J. A., Reed A. M., Wierzbowska M., Rider L. G., Martini A., Ruperto N. The PRINTO criteria for clinically inactive disease in juvenile dermatomyositis // Ann. Rheum. Dis. 2013. Vol. 72, no. 5. P. 686–693.

31. Almeida B., Campanilho-Marques R., Arnold K., Pilkington C. A., Wedderburn L. R., Nistala K. Analysis of Published Criteria for Clinically Inactive Disease in a Large Juvenile Dermatomyositis Cohort Shows That Skin Disease Is Underestimated // Arthritis Rheumatol. 2015. Vol. 67, no. 9. P. 2495–2502.

32. Kishi T., Warren-Hicks W., Bayat N., Targoff I. N., Huber A. M., Ward M. M., Rider L. G. Corticosteroid discontinuation, complete clinical response and remission in juvenile dermatomyositis // Rheumatology (Oxford). 2021. Vol. 60, no. 5. P. 2134–2145.

33. Crum-Cianflone N. F. Bacterial, Fungal, Parasitis, and Viral myositis // Clinical Microbiology Reviews. 2008. Vol. 21, no. 3. P. 473–494.

34. Valenzuela A., Chung L. Subcutaneous calcinosis: Is it different between systemic sclerosis and dermatomy-ositis? // J. Scleroderma Relat. Disord. 2022. Vol. 7, no. 1. P. 7–23.


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For citations:


Mamedova S.N., Musaev S.u. Challenges in early diagnosis of juvenile dermatomyositis: a brief review of the literature and a case study. Astrakhan medical journal. 2023;18(1):106-115. (In Russ.) https://doi.org/10.29039/1992-6499-2023-1-106-115

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ISSN 1992-6499 (Print)