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| Year : 2000 | Volume
: 48
| Issue : 4 | Page : 407 |
Dystrophic calcification in adult dermatomyositis : neuroimage.
Jayalakshmi SS, Borgohain R, Mohandas S
Department of Neurology, Nizam Institute of Medical Sciences, Punjagutta, Hyderabad, 500082, India.
Correspondence Address:
Department of Neurology, Nizam Institute of Medical Sciences, Punjagutta, Hyderabad, 500082, India.
How to cite this article:
Jayalakshmi S S, Borgohain R, Mohandas S. Dystrophic calcification in adult dermatomyositis : neuroimage. Neurol India 2000;48:407 |
A thirty eight year old lady was dignosed to have dermatomyositis on biopsy 5 years earlier, on treatment with prednisolone and azathioprine since then, complained of hardening in the region of left buttock and thigh since six months. Examination showed erythematous rash over the butterfly area of the face and forehead. Extensive sheet like calcification of the buttock and medial aspect of left thigh was noted. She had proximal muscle weakness in the lower limbs. Plain X-ray of the left hip and thigh [Figure. 1] showed diffuse calcification in the region of the buttock and linear calcification along the medial and lateral aspects of the thigh. Plain CT scan with sagittal [Figure. 2] and axial [Figure. 3] section of both thighs showed extensive sheet like calcifications predominantly in the subcutaneous plane on the medial aspect of the right thigh and anterolateral and medial aspects of left thigh, with calcification extending into the left adductor muscles. Blood calcium and phosphorus were within normal limits. Dystrophic calcification is very rare in adult dermatomyositis.
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