Dermatomyositis is an inflammatory disease marked by muscle weakness and a distinctive skin rash.
It primarily affects the skin and muscles, leading to a range of symptoms that can vary in severity.
The condition involves an autoimmune response where the body's immune system mistakenly attacks its own tissues, leading to inflammation and damage.
In dermatomyositis, the skin is often affected first, with characteristic rashes appearing on areas such as the face, eyelids, knuckles, elbows, knees, chest, and back.
These skin changes can be accompanied by muscle weakness, particularly in the proximal muscles such as those of the hips, thighs, shoulders, and upper arms, impacting daily activities like climbing stairs, lifting objects, or even rising from a seated position.
The exact cause of dermatomyositis is unknown, but it is thought to involve a combination of genetic predisposition and environmental factors, such as infections or exposure to certain medications.
While it can occur at any age, it is more commonly diagnosed in adults between 40 and 60 years old and in children between 5 and 15 years old.
Diagnosis typically involves a combination of clinical evaluation, blood tests (to check for muscle enzymes and specific autoantibodies), electromyography, skin and muscle biopsies, and imaging studies.
Whole body scans can be useful in detecting associated features or complications.
Treatment focuses on managing symptoms and typically involves corticosteroids and immunosuppressive drugs.
Physical therapy is often recommended to help maintain muscle strength and function.
With early diagnosis and appropriate treatment, many individuals with dermatomyositis can manage symptoms effectively and maintain a good quality of life.