Affiliation:
1. Department of Dermatology Japan Community Health Care Organization Chukyo Hospital Nagoya Japan
2. Department of Respiratory Medicine Japan Community Health Care Organization Chukyo Hospital Nagoya Japan
3. Department of Hematology Japan Community Health Care Organization Chukyo Hospital Nagoya Japan
4. Department of Dermatology Nagoya City University Nagoya Japan
Abstract
AbstractThis case study illustrates a 63‐year‐old Japanese woman who presented with anti‐melanoma differentiation‐associated gene 5 antibody–positive dermatomyositis. She was administered a therapeutic regimen consisting of corticosteroids, tacrolimus, and cyclophosphamide. However, after a month of treatment, symptoms of confusion and depressive tendencies emerged, followed by the manifestation of hematuria, thrombocytopenia, and fragmented erythrocytes. A disintegrin‐like and metalloprotease with thrombospondin type 1 motifs 13 activity was 45%. Thrombotic microangiopathy was contemplated, yet a definitive diagnosis remained elusive. She died 2 months after admission. Although the occurrence of thrombotic microangiopathy in patients with dermatomyositis is rare, the prognosis is poor, emphasizing the importance of prompt diagnosis and treatment.
Subject
Dermatology,General Medicine
Cited by
1 articles.
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