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심한 소양증으로 발현된 종양수반성 피부근염

Paraneoplastic Dermatomyositis with Severe Itching

대한피부과학회지 2019년 57권 7호 p.395 ~ 398
오재홍 ( Oh Jae-Hong ) - 인제대학교 의과대학 일산백병원 피부과학교실

박희재 ( Park Hee-Jae ) - 인제대학교 의과대학 일산백병원 피부과학교실
최미라 ( Choi Mi-ra ) - 인제대학교 의과대학 일산백병원 피부과학교실
박혜진 ( Park Hai-Jin ) - 인제대학교 의과대학 일산백병원 피부과학교실

Abstract


Dermatomyositis (DM) is an idiopathic inflammatory myopathy characterized by typical cutaneous manifestation and inflammation of the skeletal muscles. However, this progressive symmetric proximal muscle weakness may be minimal or absent in clinically amyopathic DM (CADM). Importantly, DM has been associated with malignancy, which is related to poor prognosis. Therefore, every newly diagnosed patient with DM should undergo thorough screening investigations for hidden internal malignancy. We report a case of CADM, with severe intractable itching, which was finally diagnosed as paraneoplastic dermatomyositis associated with gastric cancer in a 77-year-old woman. The patient had typical cutaneous features of DM and mild elevation of muscle enzymes without muscle weakness.

키워드

Dermatomyositis; Paraneoplastic syndrome; Pruritus; Stomach neoplasm
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