Bilateral ureteral stenosis and duodenal perforation in a patient with dermatomyositis.
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.
Morita
Yoshitaka
Y
Division of Nephrology and Rheumatology, Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki 701-0192, Japan. morita@med.kawasaki-m.ac.jp
Sakuta
Takeo
T
Nagasu
Hajime
H
Kuwabara
Atsunori
A
Tokuoka
Yuko
Y
Teshigawara
Sanae
S
Horike
Hideyuki
H
Kashihara
Naoki
N
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*
D000893:Anti-Inflammatory Agents; D011239:Prednisolone