Rapidly Deteriorating Dysphagia Complicating Steroid - Resistant Dermatomyositis Successfully Treated with Intravenous - Immunoglobulin

Authors

  • Muhammad Abdur Rahim Assistant Professor, Department of Nephrology, BIRDEM General Hospital, Shahbag, Dhaka
  • Hasna Fahmima Haque Registrar, Department of Internal Medicine, BIRDEM General Hospital, Shahbag, Dhaka
  • Pratik Dewan Associate Consultant, Department of Internal Medicine and Endocrinology, Square Hospitals Ltd, Dhaka
  • AKM Shaheen Ahmed Associate Professor, Department of Internal Medicine, BIRDEM General Hospital, Shahbag, Dhaka,
  • Khwaja Nazim Uddin Professor, Department of Internal Medicine, BIRDEM General Hospital, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/bccj.v3i1.24103

Keywords:

dermatomyositis, dysphagia, intravenous-immunoglobulin

Abstract

Dermatomyositis typically presents with proximal myopathy and skin rash. Dysphagia is not an uncommon feature. Here we describe a middle aged Bangladeshi man, who presented with facial puffiness and erythema, photosensitivity, polyarthritis and proximal myopathy. Diagnostic work-up confirmed dermatomyositis. Malignancy and other connective tissue diseases were excluded. The patient did not respond to conventional immunosuppressive agents, rather deterioration occurred to involve pharyngeal and respiratory muscles. He required transfer to intensive care unit, mechanical ventilation and tracheostomy. His symptoms improved with intravenous-immunoglobulin.

Bangladesh Crit Care J March 2015; 3 (1): 33-35

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Published

2015-07-10

How to Cite

Rahim, M. A., Haque, H. F., Dewan, P., Ahmed, A. S., & Uddin, K. N. (2015). Rapidly Deteriorating Dysphagia Complicating Steroid - Resistant Dermatomyositis Successfully Treated with Intravenous - Immunoglobulin. Bangladesh Critical Care Journal, 3(1), 33–35. https://doi.org/10.3329/bccj.v3i1.24103

Issue

Vol. 3 No. 1 (2015)

Section

Case Reports

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