School of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.
Beijing Anyuanquanlv Medical Institute, Beijing, China.
Int J Rheum Dis. 2023 Mar;26(3):554-558. doi: 10.1111/1756-185X.14539. Epub 2022 Dec 20.
Calcinosis and lipodystrophy are severe complications of juvenile dermatomyositis (JDM). Up to 20% of patients have calcinosis, and the onset of calcinosis usually occurs 1 to 3 years after that of the illness. We report a case of JDM with severe complications of calcinosis and lipodystrophy, and we assess calcinosis using a variety of imaging methods. To evaluate the patient's inflammatory state, bone scintigraphy was performed, which demonstrated increased uptake in the right scapula, in addition, multiple calcifications are present subcutaneously on the shoulder and back, and inflammatory imaging features are also present in the right knee joint.
钙沉积和脂肪营养不良是儿童皮肌炎(JDM)的严重并发症。高达 20%的患者有钙沉积,钙沉积的发病通常在疾病发病后 1 至 3 年内。我们报告了一例 JDM 伴有严重的钙沉积和脂肪营养不良并发症,并使用多种成像方法评估钙沉积。为了评估患者的炎症状态,进行了骨闪烁显像,显示右肩胛骨摄取增加,此外,肩部和背部多处皮下有钙化,右膝关节也存在炎症性影像学特征。