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Artigo Produção Nacional Revisado por pares

BIBTEX RIS

Oral manifestations as important symptoms for juvenile dermatomyositis early diagnosis: a case report

2010; Wiley; Volume: 21; Issue: 1 Linguagem: Inglês

10.1111/j.1365-263x.2010.01074.x

1365-263X

Letícia Machado Gonçalves, José Ribamar Sabino Bezerra-Júnior, Manuel Antônio Gordón-Nuñéz, Silvana Amado Libério, Adriana de Fátima Vasconcelos Pereira, Maria Carmen Fôntoura Nogueira da Cruz,

Dermatological and Skeletal Disorders

International Journal of Paediatric Dentistry 2011; 21: 77–80 Background. Juvenile dermatomyositis (JDM) is an idiopathic inflammatory myopathy of childhood and adolescence, characterized by symmetrical weakness of proximal muscles and classical cutaneous features. Literature reports rarely describe or focus on oral lesions that are associated with this disease. Case report. This case describes a 4-year-old girl in whom the oral lesions were the initial manifestations of JDM. Physical examination revealed characteristic skin manifestations, proximal muscle weakness, extensive calcinosis, necrotic ulceration, complicated erysipelas, and diffuse alopecia. The diagnosis was established based on the clinical, histological, electroneuromyography, and biochemical findings. Conclusion. Recognition of gingival telangiectases as an important diagnostic marker of JDM leads us to suggest that identifying oral manifestations, which may be carried out by a paediatric dentist, contributes in establishing an early diagnosis and an immediate treatment of this condition.