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Open AccessArticle10.3904/kjim.2003.18.3.196

Dermatomyositis Developing in the first Trimester of Pregnancy

In Whee Park,Yu Jin Suh,Jae Ho Han,Yoo Seob Shin,Jeong‐Hee Choi,Hae‐Sim Park+1 more-2003-09-30-The Korean Journal of Internal Medicine
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TL;DRAbstract

Dermatomyositis in pregnancy is rare. Pregnancy may be a precipitating factor at the onset or may develop during the course of dermatomyositis, which would exacerbate disease activity. In this study, we report a 22-year-old female patient who developed generalized skin rash and progressive muscle weakness in the twelfth week of pregnancy. She was diagnosed with dermatomyositis and underwent therapeutic abortion, due to the high fetal mortality rate of the disease when developed in the first trimester. Her symptoms improved with treatment of intravenous immunoglobulin and a high dose of corticosteroids.

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Dermatomyositis in pregnancy is rare. Pregnancy may be a precipitating factor at the onset or may develop during the course of dermatomyositis, which would exacerbate disease activity. In this study, we report a 22-year-old female patient who developed generalized skin rash and progressive muscle weakness in the twelfth week of pregnancy. She was diagnosed with dermatomyositis and underwent therapeutic abortion, due to the high fetal mortality rate of the disease when developed in the first trimester. Her symptoms improved with treatment of intravenous immunoglobulin and a high dose of corticosteroids.

Keywords

MedicineDermatomyositisPregnancyRashAbortionObstetricsLive birthDisease

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