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  Česky / Czech version Čas. Lék. čes., 142, 2003, No. 11, pp. 648–650.
 
Problems of Amyopathic Dermatomyositis 
Filo V. 

1. dermatovenerologická klinika LF UK a FN, Bratislava
 


Summary:

       Dermatomyositis represents a progressive autoimmune disease of the connective tissue with SLE-like dermatitis, with inflammatory myopathy and muscular weakness. It is an infrequent and serious disease affecting not only the skin and striatedmuscle. Caseswithout skin affection are classified as polymyositis. Beside autoimmune mechanisms, aetiology includes also genetic, environmental and paraneoplastic factors. Clinical skin symptoms as well as histopathological findings include Gottron’s papulae, heliotropic periorbital erythrema, which, together with palpebral oedema, brings about the weepy look of patients. None of these signs is pathognomic and beside the cutaneous symptoms the diagnosis requires 3out of 4other diagnostic criteria for the muscle symptoms. Cutaneous symptoms can precede myositis with various time intervals; such situation is sometimes classified as Amyopathic dermatomyositis (ADM), dermatitis sinemyositis or skin dermatomyositis.Acase of anADMpatient and the analysis of problematic including the strategy of therapy are presented.

        Key words: dermatomyositis, amyopathic form, therapy.
       

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