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Dermatomyositis
Is an idiopathic inflammatory myopathy with characteristic cutaneous findings that occur in children and adults (see the image below). This systemic disorder most frequently affects the skin and muscles but may also affect the joints; the esophagus; the lungs; and, less commonly, the heart.
Symptoms:
- Skin changes. A violet-colored or dusky red rash develops, most commonly on your face and eyelids and on areas around your nails, knuckles, elbows, knees, chest and back. The rash, which can be patchy with bluish-purple discolorations, is often the first sign of dermatomyositis.
- Muscle weakness. Progressive muscle weakness involves the muscles closest to the trunk, such as those in your hips, thighs, shoulders, upper arms and neck. The weakness affects both the left and right sides of your body, and tends to gradually worsen.
Preliminary plan:
- Traumatologist appointment
- General practitioner appointment
- Complete blood count (CBC)
- Urinalysis
- Stool analys - Protozoans and Helminths (microscopy)
- Blood test:
- Urea (BUN)
- Creatinine
- Uric acid
- Rheumatoid factor
- Antistreptolisin O (ASL-O)
- Calcium
- Phosphorus
- Glucose
- Alkaline phosphatase (ALP)
- Alaninaminotrasferaza (ALT)
- Aspartate aminotransferase (AST)
- Bilirubin total and direct
- Cholesterol
- HDL Cholesterol
- LDL Cholesterol
- Triglycerides
- Potassium Sodium Chlorine (K, Na, Cl) (blood)
- CK-creatine kinase