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MODERN RHEUMATOLOGY Vol.10 No.2

>MR10-2

Dermatomyositis and cutaneous necrosis: report of five cases
A. Mimori1, T. Suzuki2, N. Satoh3, H. Nara1, J. Masuyama1, T. Yoshio1, S. Kano1, S. Minota1
(1)Division of Rheumatology and Clinical Immunology, Jichi Medical School, Tochigi, Japan
(2)Division of Rheumatology, Saitama Medical School, Saitama, Japan
(3)Department of Dermatology, Jichi Medical School, Tochigi, Japan
 
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Abstract
Abstract We report on five patients with dermatomyositis (DM) and cutaneous necrosis. Patients presented with classic DM skin eruptions, mild myositis, and a high incidence (4/5) of interstitial pneumonia. Cutaneous necrosis developed independently of steroid therapy, with the majority of lesions being cured following several months of sterilization treatment. In addition, one patient with accompanying cancer presented with multiple necrotic lesions. Topical treatment using gentiana violet against local infection was considered to have been essential in accelerating healing.
 
Key words
Key words Dermatomyositis ・ Cutaneous necrosis ・ Cutaneous ulcer
 
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