0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Correspondence |

Pregnancy-Associated Dermatomyositis

Mina Yassaee, BA; Carrie L. Kovarik, MD; Victoria P. Werth, MD
Arch Dermatol. 2009;145(8):952-953. doi:10.1001/archdermatol.2009.159.
Text Size: A A A
Published online

Extract

Dermatomyositis (DM) is a female-predominant idiopathic inflammatory myopathy with characteristic skin manifestations. Reports of the association between DM and pregnancy are rare, although 2 types of pregnancy-related DM have been proposed: one presenting during pregnancy and the other, less common, developing post partum.1 Three case reports of the less common DM describe women who manifested symptoms of classic DM (CDM) 5, 15, and 30 days, respectively, after normal deliveries.13 In addition, postpartum exacerbation was reported 3 months after delivery and during the period following a spontaneous abortion.3,4 Various triggers for pregnancy-associated DM may include exposure of the mother to fetal antigens and maternal hormonal changes.1 We describe herein a patient who developed amyopathic DM (ADM) after a spontaneous abortion, which progressed 2 years later, following the delivery of a healthy infant, to CDM.

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure 1.

Skin biopsy specimen of right middle finger. An interface dermatitis is shown, characterized by a patchy bandlike lymphocytic infiltrate in the superficial dermis, basal vacuolar alteration of the epidermis, and necrotic keratinocytes (hematoxylin-eosin, original magnification ×100).

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.

Gottron papules on knuckles (A) and elbow (B).

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination
Make the Diagnosis: Early Pregnancy

The Rational Clinical Examination
Original Article: Is This Patient Pregnant?

brightcove.createExperiences();