Paniculitis asociada a dermatomiositis amiopática

Panniculitis associated with amyopathic dermatomyositis

“…The treatment of choice consists of corticosteroids, which in most cases results in a fast and complete recovery. Methotrexate and intravenous immunoglobulin may be used in patients who fail to respond to corticosteroids 4 , 8 Chao et al reported a case of a patient with dermatomyositis and panniculitis in which the lesions improved after treatment with methotrexate, however, the patient still felt ill and intravenous immunoglobulin was necessary. 10 Even though treating panniculitis with corticosteroids will usually result in a good clinical response, our patient's condition did not improve and multiple, painful subcutaneous nodules were still observed after treatment with prednisone (1mg/kg/day) and methotrexate.…”

“…2 , 3 Panniculitis is a rare skin manifestation of dermatomyositis and less than 30 cases of such association have been published since 1924, of which only one reported such association with the amyopathic subtype. 4 We present a case of a 49-year-old patient that one year after being diagnosed with amyopathic dermatomyositis showed a clinical condition compatible with lobular panniculitis.…”