TY - JOUR
AU - Kasama, Tsuyoshi
AB - Abstract A 65-year-old Japanese woman, diagnosed with dermatomyositis with myopathy and characteristic skin lesion, was intravenously administered methylprednisolone 500 mg per day for 3 days, followed by prednisolone 60 mg po per day. Four days later, she went into shock. Computed tomography of the abdomen showed hematoma in the iliopsoas muscle on both sides and a thigh muscle. Intravenously administered heparin was stopped, and 4 U of packed cells and 4 U of fresh frozen plasma were transfused. The patient subsequently developed pulmonary edema requiring assisted ventilation, and made a successful recovery, returning home after a short period of intensive rehabilitation. Dermatomyositis, Iliopsoas muscle, Thigh muscle, Shock, Hemorrhage References Langguth DM , Wong RC, Archibald C, et al. Hemorrhagic myositis associated with prophylactic heparin use in dermatomy-ositis . Ann Rheum Dis . 2004 ; 63 : 464 – 5 . Google Scholar Crossref Search ADS PubMed WorldCat Kissel JT , Mendell JR, Rammohan KW . Microvascular deposition of complement membrane attack complex in dermatomyositis. N Engl J Med . 1986 ; 314 : 329 – 34 . Google Scholar OpenURL Placeholder Text WorldCat Emslie-Smith AM , Engel AG. Microvascular changes in early and advanced dermatomyositis: a quantitative study. Ann Neurol . 1990 ; 27 : 343 – 56 . Casademont J , Grau JM, Estruch R, et al. Relationship between capillary and muscle damage in dermatomyositis . Int J. Dermatol . 1990 ; 29 : 117 – 20 . Google Scholar Crossref Search ADS PubMed WorldCat Higashi Y , Mera K, Kanzaki T, et al. Fetal muscle hemorrhage attributable to heparin administration in a patient with dermato-myositis . Clin Exp Dermatol . 2009 ; 34 : 448 – 9 . Google Scholar Crossref Search ADS PubMed WorldCat Eshraghi N , Farahmand M, Maerz LL, et al. Adult-onset dermat-omyositis with severe gastrointestinal manifestations . Case report and review of the literature. Surgery . 1998 ; 123 : 356 – 8 . Google Scholar OpenURL Placeholder Text WorldCat Orrell RW , Johnston HM, Gibson C, et al. Spontaneous abdominal hematoma in dermatomyositis . Muscle Nerve . 1998 ; 21 : 1800 – 3 . Google Scholar Crossref Search ADS PubMed WorldCat Yamagishi M , Tajima S, Suetake A, et al. Dermatomyositis with hemorrhagic myositis . Rheumatol Int . 2009 ; 29 : 1363 – 6 . Google Scholar Crossref Search ADS PubMed WorldCat Swift DL , Lingeman JE, Baum WC, et al. Spontaneous retroperitoneal hemorrhage: a diagnostic challenge . J Urol . 1980 ; 123 : 577 – 82 . Google Scholar Crossref Search ADS PubMed WorldCat This content is only available as a PDF. © 2010 Japan College of Rheumatology This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) © 2010 Japan College of Rheumatology
TI - Dermatomyositis complicated with hemorrhagic shock of the iliopsoas muscle on both sides and the thigh muscle
JF - Modern Rheumatology
DO - 10.3109/s10165-010-0296-4
DA - 2010-08-01
UR - https://www.deepdyve.com/lp/oxford-university-press/dermatomyositis-complicated-with-hemorrhagic-shock-of-the-iliopsoas-H1M46nHfN0
SP - 420
EP - 422
VL - 20
IS - 4
DP - DeepDyve
ER -