Adult Dermatomyositis with Bleeding Ulcer in the Pharynx
Joint Authors
Kusano, Junko
Takahashi, Yuka
Misaki, Yoshikata
Murai, Norihiko
Source
Case Reports in Otolaryngology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-22
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Dermatomyositis (DM) is one of the idiopathic inflammatory myopathies caused by complement-mediated vasculopathy or vasculitis in the muscle.
Although the gastrointestinal (GI) mucosa has been reported to be involved as a result of vasculitis or vasculopathy, ulceration in the pharynx is a rare manifestation of DM.
A 54-year-old woman complaining of muscle weakness in the extremities, low-grade fever, and dysphagia was diagnosed as having DM.
Despite medical treatment with corticosteroids and immunosuppressive agents, her DM progressed rapidly, leading to exacerbation of the dysphagia.
About 3 weeks after undergoing tracheostomy as a preventive measure against aspiration, the patient developed intractable respiratory tract hemorrhage.
Repeated laryngoendoscopy revealed a bleeding ulceration in the pharynx that required hemostasis with electric cautery under general anesthesia.
No bleeding recurred thereafter.
Histopathologically, the pharynx exhibited nonspecific inflammatory cell infiltration in the muscle tissue.
This rare manifestation may be considered in cases of DM with unexplainable airway bleeding.
American Psychological Association (APA)
Kusano, Junko& Takahashi, Yuka& Misaki, Yoshikata& Murai, Norihiko. 2014. Adult Dermatomyositis with Bleeding Ulcer in the Pharynx. Case Reports in Otolaryngology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017517
Modern Language Association (MLA)
Kusano, Junko…[et al.]. Adult Dermatomyositis with Bleeding Ulcer in the Pharynx. Case Reports in Otolaryngology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1017517
American Medical Association (AMA)
Kusano, Junko& Takahashi, Yuka& Misaki, Yoshikata& Murai, Norihiko. Adult Dermatomyositis with Bleeding Ulcer in the Pharynx. Case Reports in Otolaryngology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017517
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017517