An Unusual Cause of Necrotising Fasciitis in a Young Male with Juvenile Dermatomyositis
Juvenile dermatomyositis (JDM) is a rare condition worldwide, affecting children younger than 16 years. It is characterized by weakness in the proximal skeletal muscles and a pathognomonic skin rash. Patients with JDM develop complications that are usually a consequence of vasculopathy affecting mul...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2022/8758263 |
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| author | Adelaide Ankomaa Asante Josephine Nsaful Dzifa Dey |
| author_facet | Adelaide Ankomaa Asante Josephine Nsaful Dzifa Dey |
| author_sort | Adelaide Ankomaa Asante |
| collection | DOAJ |
| description | Juvenile dermatomyositis (JDM) is a rare condition worldwide, affecting children younger than 16 years. It is characterized by weakness in the proximal skeletal muscles and a pathognomonic skin rash. Patients with JDM develop complications that are usually a consequence of vasculopathy affecting multiple organ systems. Occult gastrointestinal (GI) perforation is an uncommon complication and is associated with an increased risk of mortality due to a delay in diagnosis. We report on a 14-year-old male with JDM with an aggressive course over two years and severe clinical manifestations. The patient developed necrotizing fasciitis, an unusual rapidly progressing lethal infection of the fascia resulting from bowel contents seeping from multiple intestinal perforations. This case, less commonly seen in males, highlights the occurrence of multiple phenomena—JDM complicated by skin and gastrointestinal vasculopathy with resultant development of multiple GI perforations and consequently life-threatening necrotizing fasciitis of the leg. Physicians need a high index of suspecting GI perforation in JDM patients as the delayed recognition of this complication can result in significant morbidity and/or mortality since the typical symptoms of perforation may be absent. |
| format | Article |
| id | doaj-art-5e4016c7a090441ea045435e5b56d195 |
| institution | Kabale University |
| issn | 2090-6897 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-5e4016c7a090441ea045435e5b56d1952025-02-03T06:04:53ZengWileyCase Reports in Rheumatology2090-68972022-01-01202210.1155/2022/8758263An Unusual Cause of Necrotising Fasciitis in a Young Male with Juvenile DermatomyositisAdelaide Ankomaa Asante0Josephine Nsaful1Dzifa Dey2Korle Bu Teaching HospitalKorle Bu Teaching HospitalKorle Bu Teaching HospitalJuvenile dermatomyositis (JDM) is a rare condition worldwide, affecting children younger than 16 years. It is characterized by weakness in the proximal skeletal muscles and a pathognomonic skin rash. Patients with JDM develop complications that are usually a consequence of vasculopathy affecting multiple organ systems. Occult gastrointestinal (GI) perforation is an uncommon complication and is associated with an increased risk of mortality due to a delay in diagnosis. We report on a 14-year-old male with JDM with an aggressive course over two years and severe clinical manifestations. The patient developed necrotizing fasciitis, an unusual rapidly progressing lethal infection of the fascia resulting from bowel contents seeping from multiple intestinal perforations. This case, less commonly seen in males, highlights the occurrence of multiple phenomena—JDM complicated by skin and gastrointestinal vasculopathy with resultant development of multiple GI perforations and consequently life-threatening necrotizing fasciitis of the leg. Physicians need a high index of suspecting GI perforation in JDM patients as the delayed recognition of this complication can result in significant morbidity and/or mortality since the typical symptoms of perforation may be absent.http://dx.doi.org/10.1155/2022/8758263 |
| spellingShingle | Adelaide Ankomaa Asante Josephine Nsaful Dzifa Dey An Unusual Cause of Necrotising Fasciitis in a Young Male with Juvenile Dermatomyositis Case Reports in Rheumatology |
| title | An Unusual Cause of Necrotising Fasciitis in a Young Male with Juvenile Dermatomyositis |
| title_full | An Unusual Cause of Necrotising Fasciitis in a Young Male with Juvenile Dermatomyositis |
| title_fullStr | An Unusual Cause of Necrotising Fasciitis in a Young Male with Juvenile Dermatomyositis |
| title_full_unstemmed | An Unusual Cause of Necrotising Fasciitis in a Young Male with Juvenile Dermatomyositis |
| title_short | An Unusual Cause of Necrotising Fasciitis in a Young Male with Juvenile Dermatomyositis |
| title_sort | unusual cause of necrotising fasciitis in a young male with juvenile dermatomyositis |
| url | http://dx.doi.org/10.1155/2022/8758263 |
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