title: Bilateral ureteral stenosis and duodenal perforation in a patient with dermatomyositis.
abstract: We report the case of a 19-year-old man with dermatomyositis who developed abdominal pain and anuria. The examination revealed bilateral ureteral stenosis. The patient also developed multiple ulcerations of the duodenum with perforations. The clinical feature was considered to represent that of juvenile dermatomyositis, which is characterized by systemic necrotizing vasculitis. Rheumatologists should be alerted about this serious complication in patients with childhood or young adult dermatomyositis presenting with abdominal complaints.
authors.affiliation: Division of Nephrology and Rheumatology, Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki 701-0192, Japan. morita@med.kawasaki-m.ac.jp
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Morita
authors.forename: Takeo
authors.initials: T
authors.lastname: Sakuta
authors.forename: Hajime
authors.initials: H
authors.lastname: Nagasu
authors.forename: Atsunori
authors.initials: A
authors.lastname: Kuwabara
authors.forename: Yuko
authors.initials: Y
authors.lastname: Tokuoka
authors.forename: Sanae
authors.initials: S
authors.lastname: Teshigawara
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Horike
authors.forename: Naoki
authors.initials: N
authors.lastname: Kashihara
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003251:Constriction, Pathologic / Q000209:etiology; D003882:Dermatomyositis / Q000150:complications* / Q000188:drug therapy; D004381:Duodenal Ulcer / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D014515:Ureteral Diseases / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone