Juvenile systemic lupus erythematosus and dermatomyositis associated with urticarial vasculitis syndrome: a unique presentation
| Autor: | Levi H. Jales, Patrícia Andrade de Macedo, Monique Kowalski Schmitz, Jozélio Freire de Carvalho, Carolina Borges Garcia, Rosa Maria Rodrigues Pereira |
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| Rok vydání: | 2010 |
| Předmět: |
Male
Vasculitis medicine.medical_specialty Urticaria Immunology Azathioprine Dermatomyositis Rheumatology immune system diseases Internal medicine medicine Immunology and Allergy Humans Lupus Erythematosus Systemic skin and connective tissue diseases Urticarial vasculitis Child Juvenile dermatomyositis Lupus erythematosus business.industry Overlap syndrome Syndrome medicine.disease Dermatology Methylprednisolone business medicine.drug |
| Zdroj: | Rheumatology international. 32(11) |
| ISSN: | 1437-160X |
| Popis: | To report a case of triple association of juvenile systemic lupus erythematosus (SLE), juvenile dermatomyositis and urticarial vasculitis as well as a review of the relevant literature. A 12-year-old male patient diagnosed with overlap syndrome between SLE and juvenile dermatomyositis since 2004 evolved with erythematous plaques, which were compatible with an urticarial rash. Clinical, laboratory and histopathological findings indicated a diagnosis of urticarial vasculitis. The patient previously had a C1q deficiency. Using the established treatment with methylprednisolone (1 g/day for 3 days), increasing doses of deflazacort and introduction of a dapsone, as well as mycophenolate mofetil regimen, with the suspension of azathioprine resulted in complete resolution of skin lesions. Urticarial vasculitis can present in various diseases. In SLE, presentation of urticarial vasculitis in children is rarely found. The triple association of juvenile-onset SLE, juvenile dermatomyositis and urticarial vasculitis is unusual, and this is the first case described in literature. |
| Databáze: | OpenAIRE |
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