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Korean Journal of Neuromuscular Disorders ; 14 : 30 - 34, December 2022 |
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Dermatomyositis Presenting with Isolated Dysphagia: A Case Report |
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Inyoung Lee, MD, Inyoung Lee, MD1, Hak-In Lee, MD1, Ha Young Choi, MD1, Kee Hong Park, MD2, Sooyoung Kim, MD1, Eunhee Sohn, MD, PhD1 |
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1Department of Neurology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea 2Department of Neurology, Seoul Medical Center, Seoul, Korea |
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We report a case of a 75-year-old woman who was diagnosed with
dermatomyositis presenting with isolated dysphagia. There were no
obvious cranial nerve deficits with normal motor grade in all the
limbs in neurological examinations, but a suspicious rash was
observed in the anterior chest. The serum creatine kinase was 306
IU/L, and active myopathic changes in bilateral limb muscles were
observed in the electromyography test. Muscle biopsy from vastus
lateralis showed perivascular infiltration of mononuclear
inflammatory cells, which was compatible with dermatomyositis. She
had responded to oral prednisolone and azathioprine. |
KEYWORDS : Dermatomyositis, Deglutition disorders, Myositis |
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