Dermatomyositis

Case contributed by Ali Hekmatnia
Diagnosis almost certain

Presentation

Muscle pain and swelling.

Patient Data

Age: 12 years
Gender: Female
x-ray

Sheet-like calcification in muscles and soft tissue of the thigh and leg.

mri

High-signal intensity and edema throughout the affected muscles and adjacent soft tissue.

Case Discussion

Dermatomyositis and polymyositis are two common autoimmune myopathies. MRI characteristics of juvenile dermatomyositis include muscle edema, perimascular edema, facial signal change, reticulated areas of increased and decreased signal changes in the subcutaneous fat.

Edema exists in the early stage of myositis while fatty infiltration and muscle atrophy occur in late stages of myositis.

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