Dermatomyositis Presenting With Low Back Pain

Elik, H�seyin; Demir, Damla; Terlemez, Rana; Yilmaz, Figen; Duman, Zehra; Altunay, �lknur K�van�; Kuran, Banu

ISSN : 1300-0012 E-ISSN 2458-9446

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Volume: 30 Issue: 1 Year: 2018

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Dermatomyositis Presenting With Low Back Pain [A�r�]

A�r�. Ahead of Print: AGRI-45578 | DOI: 10.5505/agri.2018.45578

Dermatomyositis Presenting With Low Back Pain

H�seyin Elik¹, Damla Demir², Rana Terlemez¹, Figen Yilmaz¹, Zehra Duman¹, �lknur K�van� Altunay², Banu Kuran¹
¹�i�li Hamidiye Etfal Research and Training Hospital, Department of Physical Medicine and Rehabilitation
²�i�li Hamidiye Etfal Research and Training Hospital, Department of Dermatology

Ama�: Dermatomiyozit (DM), nadir g�r�len ba� doku hastal�klar�ndan olup cilt lezyonlar� ve kas biyopsisindeki inflamatuar de�i�iklikler ile karakterizedir. DM tan�s� i�in karakteristik ra�lara ilaveten proksimal kas g��s�zl�� ve kas enzim d�zeylerinin art�� gibi kriterlere gerek duyulmaktad�r. Kad�nlarda 2 kat fazla g�r�lmekle birlikte, hastal��n ortaya ��k�� ya�� ortalama 50 ya�t�r. Biz bu olgu sunumunda bel a�r�s� ve bacaklarda g��s�zl�k �ikayeti olan klini�imize lomber disk hernisi �n tan�s� ile g�nderilen bir olguyu sunmay� ama�lad�k.
Olgu: Biz bu olgu sunumunda, 29 ya��nda klini�imize proksimal kas g��s�zl�� ve bel a�r�s� ile ba�vuran bir olgu sunduk. Olgu n�ro�irurji klini�inden lomber disk hernisi tan�s� ile klini�imize refere edildi. Fizik muayenede dermatomiyozit i�in karakteristik cilt lezyonlar� saptand�. ��ne elektromiyografi ve cilt biyopsisi sonras�nda kortikosteroid tedavisi ba�land�.
Sonu�: Ge� tan� konan hastalarda kaslarda ya�l� de�i�iklik geli�mesi geri d�n��s�z kas kuvvetsizli�ine ve y�r�me bozuklu�una yol a�abilir. �nflamasyonun erken d�nemde bask�lanmas� tedaviye dramatik yan�t almada �nemlidir.

Keywords: dermayomyositis, low back pain, corticosteroid.

Bel A�r�s� ile Ba�vuran Dermatomiyozit Olgusu

H�seyin Elik¹, Damla Demir², Rana Terlemez¹, Figen Yilmaz¹, Zehra Duman¹, �lknur K�van� Altunay², Banu Kuran¹
¹�i�li Hamidiye Etfal E�itim ve Ara�t�rma Hastanesi, Fiziksel T�p ve Rehabilitasyon Ana Bilim Dal�, �stanbul
²�i�li Hamidiye Etfal E�itim ve Ara�t�rma Hastanesi, Dermatoloji Ana Bilim Dal�, �stanbul

Objective: Dermatomyositis (DM) is a rare connective tissue disease characterized by skin lesions and inflammatory changes in muscle biopsy. Classification of DM for a definitive diagnosis requires a characteristic rash in addition proximal muscle weakness and muscle enzyme level elevation. DM is twice as common in women as in men also the age of onset is approximately 50 years. In this case report, we aimed to present a patient with low back pain and proximal muscle weakness in the legs, diagnosed as lomber disc herniation then referred to our clinic.
Case: In this report we present a 29-year-old case who admitted our clinic with proximal muscle weakness and low back pain. The patient was referred to our clinic from neurochirurgy department diagnosed as lomber disc herniation. In physical examination we found characteristic skin lesions for dermatomyositis. After needle electromyography and skin biopsy we started corticosteroid treatment.
Conclusion: In misdiagnosed patients, fatty infiltration in muscles may cause irreversibl weakness and gait disturbance. Early suppression of inflammation is important to get dramatic response to treatment.

Anahtar Kelimeler: dermatomiyozit, bel a�r�s�, kortikosteroid.

Corresponding Author: Rana Terlemez, T�rkiye

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