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June 14, 2026CureusOpen Access

Dermatomyositis With Necrotizing Vasculitis, Pulmonary Arterial Hypertension, and Extensive Calcinosis Following Delayed Diagnosis

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Authors

ALAmine LaabichiWAW. AmmouriNMNaima Mouatassim

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Overview

Case report of a woman with delayed diagnosis of dermatomyositis, leading to severe systemic manifestations and treatments.

Key Points

  • This case examines the progression of originally diagnosed amyopathic dermatomyositis to severe systemic involvement, highlighting diagnostic challenges.
  • Reported case of a 45-year-old woman with delayed diagnosis after four years with initial amyopathic dermatomyositis.
  • Extended myositis serology identified anti-Mi-2 and anti-SRP antibodies; muscle biopsy assessed disease severity.
  • Interventions included intravenous cyclophosphamide, pulmonary vasodilator therapy, colchicine, and corticosteroids.
  • Muscle biopsy revealed significant findings of perifascicular atrophy, necrotizing vasculitis, and granulomatous inflammation.
  • Right heart catheterization confirmed the presence of pre-capillary pulmonary arterial hypertension.
  • Treatment led to clinical and functional improvement in the patient.

Cite This Study

Laabichi et al. (2026) studied this question.

synapsesocial.com/papers/6a2e456cb1cc60ccdea8a932https://doi.org/10.7759/cureus.110687
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