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  •  Clinical case of subcutaneous calcification in a patient with dermatomyositis

    Редактор | 2023, Clinical case, Practical medicine part 21 №3. 2023 | 19 июня, 2023

    A.A. SHAFIGULLINA1, E.R. KIRILLOVA1, 2, E.V. SUKHORUKOVA2, R.Z. ABDRAKIPOV2

     1Kazan State Medical University, Kazan

    2Republic Clinical Hospital, Kazan

     Contact details:

    Shafigullina A.A. — resident doctor of the Department of Hospital Therapy

    Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7-927-454-79-32, e-mail: aigulya_sha@mail.ru

    The article presents a clinical case of a patient with subcutaneous calcification. Deposits of calcium salts in the skin and subcutaneous fat can be a manifestation of a number of diseases. The article describes the characteristics of the clinical course of the disease and the laboratory and instrumental diagnostic methods. Judging by the dynamics of changes in the skin and subcutaneous fat, the presence of an immuno-inflammatory disease in the anamnesis, slow progression against the background of immunosuppressive therapy, the diagnosis was made: low activity dermatomyositis (as an outcome of juvenile dermatomyositis) with lesions of skin and muscles in the anamnesis. It should be noted that subcutaneous calcification is more characteristic for juvenile dermatomyositis.

    Key words: subcutaneous calcification, juvenile dermatomyositis, ultrasound.

    REFERENCES

    1. Valenzuela A., Chung L. Subcutaneous calcinosis: Is it different between systemic sclerosis and dermatomyositis? J Scleroderma Relat Disord., 202, Feb., vol. 7 (1), pp. 7–23. DOI: 10.1177/23971983211053245 Epub 2021 Oct 28. PMID: 35386947; PMCID: PMC8922676.
    2. Elahmar H., Feldman B.M., Johnson S.R. Management of Calcinosis Cutis in Rheumatic Diseases. J Rheumatol., 2022, Sep., vol. 49 (9), pp. 980–989. DOI: 10.3899/jrheum.211393 Epub 2022 May 15. PMID: 35569832.
    3. Korotkiy V.N., Rychenko M.K., Tikhomirov T.A. Idiopathic skin calcification. Pediatriya. Zhurnal im. G.N. Speranskogo, 2015, no. 2 (in Russ.), available at: https://cyberleninka.ru/article/n/idiopaticheskiy-kaltsinoz-kozhi (accessed on: 20.04.2023).

    Метки: 2023, A.A. SHAFIGULLINA, E.R. KIRILLOVA, E.V. SUKHORUKOVA, juvenile dermatomyositis, Practical medicine part 21 №3. 2023, R.Z. ABDRAKIPOV, subcutaneous calcification, ultrasound

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