Juvenile dermatomyositis complicated with vasculitis and duodenal perforation
Journal
Journal of the Formosan Medical Association
Journal Volume
100
Journal Issue
12
Pages
844-846
Date Issued
2001
Author(s)
Abstract
Abstract: Duodenal perforation has been reported in patients taking steroids and non-steroidal anti-inflammatory drugs (NSAIDs). However, its association with juvenile dermatomyositis is extremely rare. A 4-year-old boy with dermatomyositis presented with intractable abdominal pain which was aggravated after steroid and NSAID therapies. A widespread retroperitoneal abscess was noted on abdominal computerized tomography. An emergency operation showed an ulcer and perforation at the junction of the third and fourth portions of the duodenum. Debridement of the necrotic tissue and repair of the perforation were performed. The postoperative course was complicated by an anastomotic leak, which was corrected by reanastomosis. In addition to intestinal vasculitis, duodenal vasculitis complicated with ulcers and perforation should be included in the differential diagnosis of a child with juvenile dermatomyositis presenting with abdominal complaints.
SDGs
Other Subjects
antibiotic agent; azathioprine; dystrophin; meloxicam; methylprednisolone; nonsteroid antiinflammatory agent; prednisolone; steroid; abdominal pain; anastomosis; article; case report; childhood disease; computer assisted tomography; debridement; dermatomyositis; differential diagnosis; disease association; duodenum perforation; duodenum ulcer; histopathology; human; human tissue; jejunum ulcer; male; postoperative period; preschool child; retroperitoneal abscess; tissue necrosis; vasculitis; Abdominal Abscess; Anti-Inflammatory Agents, Non-Steroidal; Child, Preschool; Dermatomyositis; Duodenal Diseases; Duodenal Ulcer; Duodenum; Glucocorticoids; Humans; Intestinal Perforation; Male; Prednisolone; Retroperitoneal Space; Vasculitis
Type
journal article