Dermatopolimiositis asociada a Esclerosis Sistémica

Abstract

The aim of this clinical case was the study and description of dermatopolymyositis, in the case of a 45-year-old, mixed-race woman, who went to the Emergency Service of José María Velasco Ibarra General Hospital- in Tena city-; presenting symmetric muscle weakness, polyarthralgia and changes in skin color. Complementary tests are performed and then transfer to the third level for playing a muscle biopsy and muscle enzymes for diagnosis, confirming the same. The patient lives the hospital after being hospitalized for 14 days, with favorable evolution and treatment based on corticosteroids and remains in control and follow-up by external consultation of Internal Medicine. Dermatopolymyositis is a rare multisystemic disease, presumably of an immune origin, and sometimes, associated with other conditions of collagen. It is mainly characterized by the presence of inflammatory skin and striated muscle disorders. The performance of the muscle biopsy identifies an inflammatory infiltrate characteristic of this pathology. Besides the alteration of muscle enzymes and dermatological lesions contribute decisively to this diagnosis.