title: A Case of New-Onset Dermatomyositis in the Second Trimester of Pregnancy: A Case Report and Review of the Literature.
abstract: Dermatomyositis (DM), a subtype of idiopathic inflammatory myopathies (IIMs), is characterized by skin rash, proximal muscle weakness, and inflammatory infiltrates in the muscle tissue. The peak incidence of the disease is at the age of 50-60 years, and only 14% of the patients with IIMs are estimated to present during reproductive years. Because of the limited pregnancy experience in patients with IIMs, little is known regarding the effects of DM on pregnancy or vice versa. We herein report a 40-year-old woman who developed DM in the second trimester of her pregnancy and did not respond to treatment with methylprednisolone. Her pregnancy was terminated at the 32nd week of gestation, due to preeclampsia and fetal distress. She delivered a healthy baby and improved rapidly after delivery. We have searched PubMed for relevant articles and reviewed previously published cases.
authors.affiliation: Department of Internal Medicine, Section of Rheumatology, Kayseri Training and Research Hospital, 38020 Kayseri, Turkey.
authors.forename: Tayfun
authors.identifier: 0000-0001-6601-0066
authors.initials: T
authors.lastname: Akalin
authors.affiliation: Department of Obstetrics and Gynecology, Kayseri Training and Research Hospital, 38020 Kayseri, Turkey.
authors.forename: Hatice
authors.initials: H
authors.lastname: Akkaya
authors.affiliation: Department of Obstetrics and Gynecology, Kayseri Training and Research Hospital, 38020 Kayseri, Turkey.
authors.forename: Barış
authors.initials: B
authors.lastname: Büke
authors.affiliation: Department of Internal Medicine, Kayseri Training and Research Hospital, 38020 Kayseri, Turkey.
authors.forename: İbrahim
authors.initials: İ
authors.lastname: Koçak