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When a Child Refuses to Play: A Rare Myopathy.

dc.contributor.authorCondessa, Luzia
dc.contributor.authorDias, Susana
dc.contributor.authorMoura Antunes, Sofia
dc.contributor.authorMartins, Mafalda
dc.contributor.authorMadureira, Inês
dc.date.accessioned2025-08-26T14:57:00Z
dc.date.available2025-08-26T14:57:00Z
dc.date.issued2024-09
dc.description.abstractIdiopathic inflammatory myopathies (IIM) are a rare group of systemic diseases characterized by progressive proximal muscle weakness and skeletal muscle inflammation. We describe a clinical report of a seven-year-old boy presenting with myalgia and proximal muscle weakness beginning three weeks earlier, with laboratory, MRI, and muscle biopsy findings consistent with IIM. The patient was treated with corticosteroids, methotrexate, immunoglobulin, and intensive motor rehabilitation, with favorable evolution. Diagnosis of Juvenile Polymyositis was confirmed. Three years later, we assisted a relapse of muscle weakness and muscle cytolysis with the onset of bilateral eyelid skin microulcers compatible with dermatomyositis. This report intends to highlight the importance of early diagnosis and treatment in IIM due to the significant burden associated with this group of diseases. In this case, the late onset of the skin lesion contributed to the challenge in this diagnosis.eng
dc.identifier.citationCureus . 2024 Sep 1;16(9):e68372
dc.identifier.doi10.7759/cureus.68372
dc.identifier.other39355458
dc.identifier.urihttp://hdl.handle.net/10400.17/5149
dc.language.isoen
dc.peerreviewedyes
dc.publisherSpringer Nature
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectdermatomyositis
dc.subjectidiopathic inflammatory myopathies
dc.subjectmuscle weakness
dc.subjectmyositis
dc.subjectpolymyositis
dc.subjectHDE REUM PED
dc.titleWhen a Child Refuses to Play: A Rare Myopathy.eng
dc.typetext
dspace.entity.typePublication
oaire.citation.issue9
oaire.citation.startPagee68372
oaire.citation.volume16
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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