Dermatomyositis Associated with Myelofibrosis following Polycythemia Vera

Dermatomyositis (DM) is a unique inflammatory myopathy with clinical findings of proximal muscle weakness, characteristic rash, and elevated muscle enzymes. The association of DM and malignancy, most commonly adenocarcinoma, is well known. There have been few case reports of primary myelofibrosis as...

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Main Authors: Naomi Fei, Sarah Sofka
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2017/9091612
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author Naomi Fei
Sarah Sofka
author_facet Naomi Fei
Sarah Sofka
author_sort Naomi Fei
collection DOAJ
description Dermatomyositis (DM) is a unique inflammatory myopathy with clinical findings of proximal muscle weakness, characteristic rash, and elevated muscle enzymes. The association of DM and malignancy, most commonly adenocarcinoma, is well known. There have been few case reports of primary myelofibrosis associated with DM. We present the case of a 69-year-old male with a history of polycythemia vera (PV) who developed proximal muscle weakness, dysphagia, and rash. He was found to have elevated creatinine kinase and skin biopsy was consistent with DM. Due to persistent pancytopenia a bone marrow biopsy was performed and showed postpolycythemic myelofibrosis. To our knowledge, this is the first case reported of this unique association.
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series Case Reports in Hematology
spelling doaj-art-97136948af8045c6b357f781738bcb222025-02-03T01:08:57ZengWileyCase Reports in Hematology2090-65602090-65792017-01-01201710.1155/2017/90916129091612Dermatomyositis Associated with Myelofibrosis following Polycythemia VeraNaomi Fei0Sarah Sofka1Department of Internal Medicine, West Virginia University Hospital, 1 Medical Center Dr., Morgantown, WV 26505, USADepartment of Internal Medicine, West Virginia University Hospital, 1 Medical Center Dr., Morgantown, WV 26505, USADermatomyositis (DM) is a unique inflammatory myopathy with clinical findings of proximal muscle weakness, characteristic rash, and elevated muscle enzymes. The association of DM and malignancy, most commonly adenocarcinoma, is well known. There have been few case reports of primary myelofibrosis associated with DM. We present the case of a 69-year-old male with a history of polycythemia vera (PV) who developed proximal muscle weakness, dysphagia, and rash. He was found to have elevated creatinine kinase and skin biopsy was consistent with DM. Due to persistent pancytopenia a bone marrow biopsy was performed and showed postpolycythemic myelofibrosis. To our knowledge, this is the first case reported of this unique association.http://dx.doi.org/10.1155/2017/9091612
spellingShingle Naomi Fei
Sarah Sofka
Dermatomyositis Associated with Myelofibrosis following Polycythemia Vera
Case Reports in Hematology
title Dermatomyositis Associated with Myelofibrosis following Polycythemia Vera
title_full Dermatomyositis Associated with Myelofibrosis following Polycythemia Vera
title_fullStr Dermatomyositis Associated with Myelofibrosis following Polycythemia Vera
title_full_unstemmed Dermatomyositis Associated with Myelofibrosis following Polycythemia Vera
title_short Dermatomyositis Associated with Myelofibrosis following Polycythemia Vera
title_sort dermatomyositis associated with myelofibrosis following polycythemia vera
url http://dx.doi.org/10.1155/2017/9091612
work_keys_str_mv AT naomifei dermatomyositisassociatedwithmyelofibrosisfollowingpolycythemiavera
AT sarahsofka dermatomyositisassociatedwithmyelofibrosisfollowingpolycythemiavera