title: Syndrome in question.
abstract: Dermatomyositis is a rare inflammatory disease, autoimmune, with proximal myopathy associated with characteristic dermatological manifestations. In adults, 20-50% of the cases are paraneoplastic manifestation, being mandatory the workup for malignancy Herein we report a case of a woman with classic dermatological presentation of dermatomyositis and newly diagnosed breast cancer. In general, the clinical presentation of paraneoplastic dermatomyositis is more exuberant and manifestations may precede, concur or succeed the diagnosis of neoplasia. The prognosis of cases associated with breast cancer is worse than the idiopathic form. Treatment is based mainly on the resolution of the underlying disease, beyond immunosuppressants.
authors.affiliation: Universidade Estadual Paulista "Júlio de Mesquita Filho" (Unesp) - Botucatu (SP), Brazil.
authors.forename: Ana Cláudia Cavalcante
authors.initials: AC
authors.lastname: Esposito
authors.affiliation: Universidade Estadual Paulista "Júlio de Mesquita Filho" (Unesp) - Botucatu (SP), Brazil.
authors.forename: Tânia
authors.initials: T
authors.lastname: Munhoz
authors.affiliation: Universidade Estadual Paulista "Júlio de Mesquita Filho" (Unesp) - Botucatu (SP), Brazil.
authors.forename: Juliana Polizel
authors.initials: JP
authors.lastname: Ocanha
authors.affiliation: Universidade Estadual Paulista "Júlio de Mesquita Filho" (Unesp) - Botucatu (SP), Brazil.
authors.forename: Hélio Amante
authors.initials: HA
authors.lastname: Miot
mesh_terms: D001943:Breast Neoplasms / Q000150:complications / Q000175:diagnosis*; D018270:Carcinoma, Ductal, Breast / Q000150:complications / Q000175:diagnosis*; D003402:Creatine Kinase / Q000097:blood; D003882:Dermatomyositis / Q000175:diagnosis*; D004890:Erythema / Q000175:diagnosis; D005076:Exanthema / Q000175:diagnosis; D005260:Female; D006801:Humans; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000175:diagnosis*
chemical_list: D003402:Creatine Kinase