[PAGID] help with patient

[Chris Seroogy]

Mary Beth,

If I understand correctly, her aldolase and CPK are abnormally elevated and
there is a diagnosis of elevated transaminases.  Given the rash, arthritis,
skin biopsy findings with this picture, I would be concerned for juvenile
dermatomyositis.  Has there been any muscle weakness on exam?  Also, with
possible e.nodusum consider sarcoidosis and would recommend anti-ds DNA
despite negative ANA.  Regards, Chris


Chris Seroogy, M.D.

University of Wisconsin

Assistant Professor

Dept. of Pediatrics

Mail:  H4/474 CSC, Mailstop 4108

Shipping:  H4/431 CSC, Mailstop 4108

600 Highland Ave.

Madison, WI  53792

phone: 608- 263-2652

fax: 608-265-0164


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