Open AccessA rare case of suspected lupus erythematosus panniculitis as the presenting skin feature of juvenile dermatomyositis: A case report
Author(s) -
Dylan Ginter,
Michele Ramien,
Marie-Anne Bründler,
Laura C Swaney,
Päivi Miettunen,
Nadia Luca
Publication year - 2022
Publication title -
sage open medical case reports
Language(s) - English
Resource type - Journals
ISSN - 2050-313X
DOI - 10.1177/2050313x221086317
Subject(s) - medicine , juvenile dermatomyositis , panniculitis , dermatomyositis , inflammatory myopathy , pathology , dermatology , context (archaeology) , systemic disease , rare disease , connective tissue disease , disease , autoimmune disease , paleontology , biology
Juvenile dermatomyositis is a rare autoimmune myopathy of childhood, associated with systemic vasculopathy, primarily affecting the capillaries. Panniculitis is seen histologically in about 10% of patients with dermatomyositis; however, its clinical presentation is rare, with only 30 cases presented in the literature to date. The histopathology overlaps with other inflammatory disease states, and is almost identical to the panniculitis seen in lupus erythematous panniculitis. In the cases with both panniculitis and dermatomyositis, skin and muscle inflammation is usually the first clinical manifestation. We present a case of a 16-year-old female with panniculitis as the initial presenting feature of juvenile dermatomyositis in the context of a prior diagnosis of indeterminate colitis.