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All Journal Berkala Ilmu Kesehatan Kulit dan Kelamin Folia Medica Indonesiana Paediatrica Indonesiana Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Respirasi (JR) Indian Journal of Forensic Medicine & Toxicology
Azwin Mengindra Putera
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Universitas Airlangga-RSUD Dr. Soetomo, Surabaya, Indonesia
Humanities Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences Other

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Successful management of a 7-year-old-female with juvenile dermatomyositis at a tertiary hospital in low-income country Wulandari, Desy; Lubis, Azwin Mengindra Putera; Hikmah, Zahrah; Endaryanto, Anang
Paediatrica Indonesiana Vol. 64 No. 6 (2024): November 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.6.2024.551-8

Abstract

Juvenile dermatomyositis (JDM) is a rare chronic autoimmune disease belonging to idiopathic inflammatory myopathies. Pathological skin lesions and proximal weakness primarily characterize this entity, but clinical symptoms can be heterogeneous. Children are more likely to have long-term complications such as lipodystrophy, calcinosis, and vasculopathy. Calcinosis is one of the characteristic sequelae of JDM, despite recent advances in the treatment of JDM, about one-third of patients still develop dystrophic calcinosis. In low-income countries, the availability of medicines is very limited. In our case, a 7-year-old female diagnosed with JDM presented with calcinosis. Aggressive and adequate treatment with steroids, methotrexate, hydroxychloroquine, and aluminium hydroxide can treat the complications. It is challenging to establish an early diagnosis, treatment, prevention of long-term complications, and improved prognosis of JDM, which then will improve the patient’s quality of life, especially in low income countries with limited drug availability.
Co-Authors Ahmad Suryawan Akbar Rizky Ramadhan Anang Endaryanto Anisa Ayu Maharani Ariyanto Harsono Ashfa Diniyya Assabella Bagas Triambodo Bambang Hermanto Camilia Metadea Aji Savitri Damayanti Damayanti desy wulandari Dinda Anes Tunjungsari Dinda Sella Octaviana Fanny Gunawan Ferrel Bramasta Gatot Soegiarto Gerald Sebastian Davis Hafidhatul Aisy Hermawan Susanto Istianah Istianah Jihan Nabila Pranjasdhina Junjungan Nimasratu Rahmatsani Lavenia Kurniawati Linda Dewanti Made Retna Paramita Savitri Manika Putri Kunigara Natalia Erica Jahja Noor Idha Handajani Nur Rochmah Rosmalika, Khansa Raihani Sitisalma Amirah Dzakiyyah Veronika Intan Krismaningrum Wigaviola Socha Purnamaasri Harmadha Zahrah Hikmah, Zahrah