[PAGID] help with patient

[Mary Beth Hogan]

Chris,

There has been no noted weakness and an MRI showed no myositis.  Will
look at anti ds DNA.  

 

Thank you for your suggestions, should you have any other ideas, I will
appreciate hearing them.  Best regards, Mary Beth

 

________________________________

From: pagid-bounces at list.clinimmsoc.org
[mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Chris Seroogy
Sent: Monday, April 07, 2008 8:47 AM
To: pagid at list.clinimmsoc.org
Subject: Re: [PAGID] help with patient

 

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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