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CASE REPORT
Year : 2020  |  Volume : 61  |  Issue : 5  |  Page : 284-287

Juvenile dermatomyositis in an 11 year old Nigerian-boy: A case report and review of literature


1 Department of Paediatrics and Child Health, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Nigeria
2 Department of Paediatrics and Child Health, Wesley Guild Hospital Subdivision of Obafemi Awolowo University Teaching Hospitals Complex, IleIfe, Osun State, Nigeria
3 Department of Surgery, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Nigeria

Correspondence Address:
Dr. Olusola Adetunji Oyedeji
Department of Paediatrics and Child Health, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/nmj.NMJ_128_18

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We report the case of an 11-year-old boy with proximal myopathy, heliotrope, and Gottron papule-like rashes. Serum chemistry revealed muscle enzyme elevations, whereas muscle biopsy histology showed necrosis and inflammation, which were in keeping with juvenile dermatomyositis. Plain radiographic examination of the thigh 3 weeks after commencing treatment with prednisolone was normal. The aim of this presentation is to highlight the diagnostic challenges posed by this rare condition in a resource-limited setting and to underscore the need for prompt diagnosis and appropriate management. We hope that this report will assist physicians practicing in similar settings to make a prompt and accurate diagnosis when confronted with the same disease.


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