Juvenile dermatomyositis with respiratory failure and peripheral nerve paralyses. A case report.
A 9.5 years old girl suffering from an acute dermatomyositis, developed a respiratory failure, which was successfully managed with mechanical ventilation for 6 days. Paralysis of the right radial and the left peroneus nerves were recognized early in the disease course and were confirmed later by electrophysiologic examinations. A complete remission of the dermatomyositis and the paralysis of the radial nerve were achieved within months with prednisolone medication and physiotherapy; the peroneus nerve paralysis improved only slightly. Further uncommon manifestations were thrombocytopenia, retinitis and cerebral convulsions.
Hussein
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Zentrum Kinderheilkunde und Humangenetik Medizinische Hochschule Hannover.
D002648:Child; D003882:Dermatomyositis / Q000503:physiopathology* / Q000628:therapy; D005260:Female; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation; D009431:Neural Conduction / Q000187:drug effects; D010243:Paralysis / Q000503:physiopathology*; D010543:Peroneal Nerve / Q000503:physiopathology*; D011241:Prednisone / Q000008:administration & dosage; D011826:Radial Nerve / Q000503:physiopathology*; D011930:Reaction Time / Q000502:physiology; D012131:Respiratory Insufficiency / Q000503:physiopathology* / Q000628:therapy
D011241:Prednisone