Images in Clinical Rheumatology
Poikilodermatomyositis
Poiquilodermatomiositis
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"documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2012;8:225-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 10038 "formatos" => array:3 [ "EPUB" => 55 "HTML" => 9469 "PDF" => 514 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>" "titulo" => "43-Year-Old-Male With a Right Pelvic Mass" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "225" "paginaFinal" => "226" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Varón de 43 años con masa pélvica derecha" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" 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] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Departamento de Medicina Interna, Centenario Hospital Miguel Hidalgo, Aguascalientes, Mexico" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Dermatología, Hospital Central Dr. Ignacio Morones Prieto, San Luis Potosí, Mexico" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Departamento de Patología, Centenario Hospital Miguel Hidalgo, Aguascalientes, Mexico" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Poiquilodermatomiositis" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1097 "Ancho" => 1583 "Tamanyo" => 133114 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image of the legs with the characteristic alternating hypo and hyperpigmented macules of the poikilodermatosis.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present a rare case of a woman diagnosed with dermatomyositis associated with interstitial lung disease as a manifestation preceded the onset of poikilodermatosis. This presented as a generalized skin rash characterized by confluent lesions, which later was replaced by hyperpigmented and hypopigmented macules (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), dryness and scaling, as well as alopecia. Four months later melanonychia appeared, as well as heliotrope erythema, periorbital edema, and Gottron's papules on the proximal and distal interphalangeal joints of both hands (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), progressive muscle weakness with a symmetric, proximal distribution and weight loss of 10<span class="elsevierStyleHsp" style=""></span>kg.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The patient then presented dysphagia and dyspnea progressing to orthopnea, so she was admitted to the hospital. The most interesting laboratory results showed: creatinine 203<span class="elsevierStyleHsp" style=""></span>U/l, lactic dehydrogenase 698<span class="elsevierStyleHsp" style=""></span>U/l, aspartate transaminase 304<span class="elsevierStyleHsp" style=""></span>U/l, erythrocyte sedimentation rate 20<span class="elsevierStyleHsp" style=""></span>mm/h, rheumatoid factor 57<span class="elsevierStyleHsp" style=""></span>IU/l, C-reactive protein 3.7<span class="elsevierStyleHsp" style=""></span>mg/dl, complement fractions C3 55<span class="elsevierStyleHsp" style=""></span>mg/dl and C4 11.1<span class="elsevierStyleHsp" style=""></span>mg/dl.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Computed tomography revealed: interstitial lung disease, emphysematous bullae, bronchiectasis and areas of pulmonary fibrosis. During the hospital stay she developed pneumonia associated with mechanical ventilation and septic shock leading to her death.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The poikilodermatosis is a rare sign of dermatomyositis and may be the initial manifestation of the disease,<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–5</span></a> as the case above described.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please, cite this article as: Perales-Martínez DE, et al. Poiquilodermatomiositis. Reumatol Clin. 2012;8:227–8.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1097 "Ancho" => 1583 "Tamanyo" => 133114 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image of the legs with the characteristic alternating hypo and hyperpigmented macules of the poikilodermatosis.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1207 "Ancho" => 1583 "Tamanyo" => 142009 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Image of the hands showing Gottron's papules on the metacarpophalangeal joints superimposed on the poikilodermatosis hypopigmented lesions.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Late-onset polymyositis in a case of poikilodermatomyositis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P.K. 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Callen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(99)05157-0" "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "2000" "volumen" => "355" "paginaInicial" => "53" "paginaFinal" => "57" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10615903" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000000800000004/v1_201305061641/S217357431200010X/v1_201305061641/en/main.assets" "Apartado" => array:4 [ "identificador" => "5795" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Clinical Rheumatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000800000004/v1_201305061641/S217357431200010X/v1_201305061641/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357431200010X?idApp=UINPBA00004M" ]
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| 2018 February | 28 | 3 | 31 |
| 2018 January | 26 | 3 | 29 |
| 2017 December | 29 | 3 | 32 |
| 2017 November | 30 | 4 | 34 |
| 2017 October | 38 | 6 | 44 |
| 2017 September | 30 | 6 | 36 |
| 2017 August | 38 | 8 | 46 |
| 2017 July | 26 | 7 | 33 |
| 2017 June | 41 | 11 | 52 |
| 2017 May | 55 | 8 | 63 |
| 2017 April | 38 | 6 | 44 |
| 2017 March | 33 | 35 | 68 |
| 2017 February | 30 | 6 | 36 |
| 2017 January | 39 | 5 | 44 |
| 2016 December | 66 | 23 | 89 |
| 2016 November | 74 | 25 | 99 |
| 2016 October | 101 | 18 | 119 |
| 2016 September | 128 | 11 | 139 |
| 2016 August | 94 | 3 | 97 |
| 2016 July | 53 | 8 | 61 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 November | 1 | 0 | 1 |
| 2015 October | 1 | 0 | 1 |
| 2015 August | 3 | 0 | 3 |
| 2015 July | 21 | 8 | 29 |
| 2015 June | 36 | 4 | 40 |
| 2015 May | 69 | 19 | 88 |
| 2015 April | 50 | 18 | 68 |
| 2015 March | 38 | 5 | 43 |
| 2015 February | 35 | 7 | 42 |
| 2015 January | 38 | 6 | 44 |
| 2014 December | 56 | 9 | 65 |
| 2014 November | 68 | 8 | 76 |
| 2014 October | 46 | 11 | 57 |
| 2014 September | 52 | 7 | 59 |
| 2014 August | 55 | 10 | 65 |
| 2014 July | 47 | 13 | 60 |
| 2014 June | 68 | 13 | 81 |
| 2014 May | 64 | 19 | 83 |
| 2014 April | 52 | 5 | 57 |
| 2014 March | 64 | 16 | 80 |
| 2014 February | 56 | 12 | 68 |
| 2014 January | 47 | 10 | 57 |
| 2013 December | 46 | 9 | 55 |
| 2013 November | 40 | 10 | 50 |
| 2013 October | 59 | 16 | 75 |
| 2013 September | 60 | 13 | 73 |
| 2013 August | 55 | 21 | 76 |
| 2013 July | 37 | 8 | 45 |
| 2013 June | 52 | 11 | 63 |
| 2013 May | 48 | 12 | 60 |
| 2013 April | 45 | 9 | 54 |
| 2013 March | 52 | 14 | 66 |
| 2013 February | 46 | 9 | 55 |
| 2013 January | 35 | 12 | 47 |
| 2012 December | 47 | 11 | 58 |
| 2012 November | 24 | 16 | 40 |
| 2012 October | 28 | 12 | 40 |
| 2012 September | 17 | 9 | 26 |
Show all
