title: [Dermatomyositis. Presentation of a mild to moderate case with early dysphagia].
abstract: We report the case of a twelve year old female patient with juvenile dermatomyositis. The diagnosis was made in our unit a few days after starting with proximal muscular weakness and a skin rash. A combination of oral corticosteroids and methotrexate was administered. There was an initial improvent in the skin lesions, but with no changes in the muscle weakness. The appearance of dysphagia a few days after starting the treatment led us to add three pulses of parenteral methylprednisolone to her initial treatment. We report the case to illustrate the difficulties in deciding initial treatment options.
authors: Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors: M
authors: M
authors: Sánchez Carbonell
authors: Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors: H
authors: H
authors: Climent Antolí
authors: Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors: A L
authors: AL
authors: Leandro Fonseca
authors: Hospital Virgen de los Lirios, Alcoy, Alicante, España.
authors: J M
authors: JM
authors: Paricio Talayero
authors: Hospital Virgen de los Lirios, Alcoy, Alicante, España. Electronic address: escriva_pas@gva.es.
authors: P
authors: P
authors: Escrivá Tomás
mesh_terms: D002648:Child; D003680:Deglutition Disorders / Q000209:etiology*; D003882:Dermatomyositis / Q000150:complications*; D005260:Female; D006801:Humans; D012720:Severity of Illness Index; D013997:Time Factors
keywords: Dermatomiositis juvenil; Initial treatment; Juvenile dermatomyositis; Methylprednisolone; Metilprednisolona; Tratamiento inicial