Juvenile dermatomyositis and other idiopathic inflammatory myopathies of childhood

Feldman, Brian M.; Rider, Lisa G.; Reed, Ann M.; Pachman, Lauren M.

doi:10.1016/s0140-6736(08)60955-1

Cited by 374 publications

(333 citation statements)

References 110 publications

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“…JDMA is rare and affects girls from ages four to fourteen more often than boys (Lehman, 2004). Similar to other rheumatic diseases, the cause is unknown although JDMA is usually triggered by a condition (e.g., infection, immunization, injury) that causes immune system activity that does not respond as it should (Feldman, Rider, Reed, & Pachman, 2008).…”

Section: Disease Subtypesmentioning

confidence: 99%

A longitudinal examination of the parent–child distress relationship in children with juvenile rheumatic disease.

Ryan¹,

Ramsey²,

Fedele³

et al. 2010

Rehabilitation Psychology

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Objective: To examine the longitudinal relationships between parent and child distress in a sample of children with juvenile rheumatic diseases (JRDs). Design: Cross-lagged panel correlation analysis tested the temporal precedence of parent distress versus child distress over a 1-year period. Participants: Thirty-seven children (ages 9–17 years; 22 girls) diagnosed with JRD and their parents completed self-report measures on 2 occasions (assessment interval M = 12 months). Primary Outcome Measures: Child Depression Inventory and Brief Symptom Inventory. Results: Significant cross-sectional parent–child distress associations were observed at both time points. Moreover, Time 1 parent distress predicted child distress at Time 2 after child-reported functional ability was controlled; Time 1 child distress was unrelated to Time 2 parent distress. Cross-lagged panel correlations demonstrated the temporal precedence of parent distress relative to child distress in the parent–child distress relationship. Conclusions: These preliminary findings underscore the importance of parent distress in parent–child transactional adjustment, and suggest a predominant role for parent distress in children's adjustment to JRDs.

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Section: Disease Subtypesmentioning

confidence: 99%

A longitudinal examination of the parent–child distress relationship in children with juvenile rheumatic disease.

Ryan¹,

Ramsey²,

Fedele³

et al. 2010

Rehabilitation Psychology

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“…Juvenile dermatomyositis (JDM) is an autoimmune vasculopathy involving primarily the proximal muscles and skin but can involve other organ systems, particularly the gastrointestinal (GI) tract 1 . In the presence of cutaneous vasculitic ulcerations, one needs to monitor for signs and symptoms suggestive of GI vasculopathy 2 , which can lead to bowel ischemia, necrosis, ulceration, and perforation 1,2,3,4,5 .…”

Section: To the Editormentioning

confidence: 99%

“…In the presence of cutaneous vasculitic ulcerations, one needs to monitor for signs and symptoms suggestive of GI vasculopathy 2 , which can lead to bowel ischemia, necrosis, ulceration, and perforation 1,2,3,4,5 . The presence of gas in the bowel wall, also referred to as pneumatosis intestinalis (PI), is an ominous finding when it is due to a GI vasculopathy 3 .…”

Section: To the Editormentioning

confidence: 99%

Benign Pneumatosis Intestinalis in a Patient with Juvenile Dermatomyositis

Berard¹,

Chédeville²,

Saint‐Martin³

et al. 2010

J Rheumatol

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“…Juvenile dermatomyositis (DM) is a rare inflammatory disease of childhood that predominantly affects muscles and skin but is also a systemic multiorgan disease 1. It is the most common idiopathic inflammatory myopathy (IIM) of childhood, with a reported incidence of 2–3 new cases per million children per year 2.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Utility and Validity of Three Scoring Tools to Measure Skin Involvement in Patients With Juvenile Dermatomyositis

Campanilho-Marques

Almeida

Deakin

et al. 2016

Arthritis Care & Research

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ObjectiveTo compare the abbreviated Cutaneous Assessment Tool (CAT), Disease Activity Score (DAS), and Myositis Intention to Treat Activity Index (MITAX) and correlate them with the physician's 10‐cm skin visual analog scale (VAS) in order to define which tool best assesses skin disease in patients with juvenile dermatomyositis.MethodsA total of 71 patients recruited to the UK Juvenile Dermatomyositis Cohort and Biomarker Study were included and assessed for skin disease using the CAT, DAS, MITAX, and skin VAS. The Childhood Myositis Assessment Scale (CMAS), manual muscle testing of 8 groups (MMT8), muscle enzymes, inflammatory markers, and physician's global VAS were recorded. Relationships were evaluated using Spearman's correlations and predictors with linear regression. Interrater reliability was assessed using intraclass correlation coefficients.ResultsAll 3 tools showed correlation with the physician's global VAS and skin VAS, with DAS skin showing the strongest correlation with skin VAS. DAS skin and CAT activity were inversely correlated with CMAS and MMT8, but these correlations were moderate. No correlations were found between the skin tools and inflammatory markers or muscle enzymes. DAS skin and CAT were the quickest to complete (mean ± SD 0.68 ± 0.1 minutes and 0.63 ± 0.1 minutes, respectively).ConclusionThe 3 skin tools were quick and easy to use. The DAS skin correlated best with the skin VAS. The addition of CAT in a bivariate model containing the physician's global VAS was a statistically significant estimator of skin VAS score. We propose that there is scope for a new skin tool to be devised and tested, which takes into account the strengths of the 3 existing tools.

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Juvenile dermatomyositis and other idiopathic inflammatory myopathies of childhood

Cited by 374 publications

References 110 publications

A longitudinal examination of the parent–child distress relationship in children with juvenile rheumatic disease.

A longitudinal examination of the parent–child distress relationship in children with juvenile rheumatic disease.

Benign Pneumatosis Intestinalis in a Patient with Juvenile Dermatomyositis

Comparison of the Utility and Validity of Three Scoring Tools to Measure Skin Involvement in Patients With Juvenile Dermatomyositis

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