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Doctor insights on: Dermatomyositis

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Dr. Ramachandran Srinivasan
234 Doctors shared insights

Dermatomyositis (Overview)

A very broad term generally encompassing otherwise uncharacterized general malaise, soreness, and fatigue. A variety of causes has been implicated over the years: viral, autoimmune, part of other syndromes.


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With dermatomyositis what else should I be looking for?

With dermatomyositis what else should I be looking for?

Malignancy: Dermatomyositis can be associated with cancer 5 years prior to diagnosis or 5 years after diagnosi. A workup for breast stomach, ovary and other cancers is be essay. Discuss with treating doctor as well as side effects of medications.

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Dr. Ramachandran Srinivasan
234 Doctors shared insights

Dermatomyositis (Overview)

A very broad term generally encompassing otherwise uncharacterized general malaise, soreness, and fatigue. A variety of causes has been implicated over the years: viral, autoimmune, part of other syndromes.


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What are symptoms of dermatomyositis?

Weakness and rash!: Dermatomyositis has characteristicc rashes: heliotrope, gottren's, etc. A rheumatologist or dermatologist will recognize this. Proximal muscle weakness is the first evidence of muscular disease, and a doctor will check your cpk, which would be elevated. Pts may also experience raynaud's syndrome, and internal organ involvement can occur. It is a serious disease!

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What are the tests for dermatomyositis?

Several.: While a muscle biopsy is most definitive, emgs, elevation of muscle enzymes, positive ana, reflexed to specific autoantibodies frequently seen in dm. But the clinical picture is most telling. This diseasec should be managed by a rheumatologist.

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What should I know about dermatomyositis? What advice can you give for someone who has it?

Inflammation of musc: Inflammation of muscles. Assure that it is not caused by medications or by cancer. Further, assure exercises to maintain muscle strength.

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What causes dermatomyositis?

What causes dermatomyositis?

Dermatomyositis: The cause of dermatomyositis is unknown. Experts think it may be due to a viral infection of the muscles or a problem with the body's immune system. It can also sometimes occur in patients who have cancer of the abdomen, lung or other body area. Anyone can develop dermatomyositis, but it most commonly occurs in children age 5 - 15 and adults age 40 - 60. Women develop this condition more often.

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Is cellcept (mycophenolate mofetil) a drug prescribed to treat dermatomyositis?

Yes: Cellcept (mycophenolate mofetil) is an immunosuppressant drug used to treat a variety if conditions. In rheumatology it is most commonly used to treat certain types of lupus. Cellcept (mycophenolate mofetil) has been used successfully to treat dermatomyositis. It can help lower and or eliminate the steroid dose.

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Trying for earlier than april appt. Can walk but barely. The longer I wait, the less strength that could return with dermatomyositis when treated?

Trying for earlier than april appt. Can walk but barely. The longer I wait, the less strength that could return with dermatomyositis when treated?

See details: I believe a answered a similar question from you previously. Please do what ever you can to get a rheumatology appointment asap. If not see a neurologist if you can. Above all, start treatment now.

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What is the treatment for dermatomyositis?

What is the treatment for dermatomyositis?

Several: Traditionally higher dose oral steroid regimens have been use, looking for a reduction in cpk, a muscle enzyme and maker for disease activity. Methotreaxate is used quite frequently, and so are azothiprine and cyclophosphamde. My frence is to inject high dose steroids intravenously for three days and to start s.C. Methotrexate. No one regimen works for all.

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What're current treatments for dermatomyositis?

A variety: There can be many depending on the manifestations: corticosteriods are the most common, methotrexate, other cytotoxic drugs, biologics, intravenous gammaglobulin and most recently acthargel (acth) injections. These are used in concert with physical therapy, assistive devices like canes and walkers. Specific therapy will depend on your type of dermatomyositis and your manifestations.

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Is dermatomyositis serious?

It can be: There is a much higher risk of solid organ cancers (lung, colon for example) in patients with dm. Why this is remains unclear.

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What causes dermatomyositis?

Dermatomyositis: The cause of dermatomyositis is unknown. Experts think it may be due to a viral infection of the muscles or a problem with the body's immune system. It can also sometimes occur in patients who have cancer of the abdomen, lung or other body area. Anyone can develop dermatomyositis, but it most commonly occurs in children age 5 - 15 and adults age 40 - 60. Women develop this condition more often.

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How to live with dermatomyositis?

Dermatomyositis: You have a rare disease. You should be under the care of a rheumatologist with experience treating this disease. Dermatomyositis often has long periods of remission and can usually be controlled when active. Working with your doctor is the most important step in living with this disease. It will require medication to treat when active and physical therapy to help with weakness when controlled.

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What are symptoms of dermatomyositis?

Weakness and rash!: Dermatomyositis has characteristicc rashes: heliotrope, gottren's, etc. A rheumatologist or dermatologist will recognize this. Proximal muscle weakness is the first evidence of muscular disease, and a doctor will check your cpk, which would be elevated. Pts may also experience raynaud's syndrome, and internal organ involvement can occur. It is a serious disease!

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What is some info on dermatomyositis?

Skin & muscles: Dermatomyositis is a connective-tissue disease, ranging from mild to severe. Milder cases involve only inflammation of the muscles and the skin, while more severe cases also may affect the joints, esophagus, lungs, and even the heart in rare cases. Treatment is difficult but possible, and often effective in the hands of an experienced dermatologist.

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How many people have dermatomyositis?

0.6-1 in 100, 000: It is the most common immune-mediated myositis, but still uncommon.