A Case of Dermatomyositis Diagnosed at Postpartum.

Park, Chan Joon; Lee, Min A

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(3):722-726.
Published online March 1, 2006.

A Case of Dermatomyositis Diagnosed at Postpartum.

Department of Obstetrics and Gynecology, College of Medicine, Chungnam National University, Daejeon, Korea. minari73@cnuh.co.kr

Abstract

Dermatomyositis is identified by a characteristic rash accompanying or, more commonly, preceding muscle weakness. Only 14% of cases occurs during child-bearing years, and only a few cases of dermatomyositis associated to pregnancy complications have been reported. Therefore there is relatively little information concerning the maternal and fetal outcome. The clinical diagnosis of dermatomyositis is confirmed by three laboratory examinations: serum muscle enzyme concentrations, electromyography, and muscle biopsy. Some authors suggest that the outlook for the fetus is unfavorable when dermatomyositis is first diagnosed during pregnancy. Others consider that fetal prognosis parallels the activity of maternal disease. Various factors have been considered as triggers for development of dermatomyositis during pregnancy. There is no report of maternal-to-fetal transmission of disease. We have experienced a case of dermatomyositis diagnosed at postpartum and then received a prompt management of the patient so presented this case with a brief review of the literatures.

Key Words: Autoimmune disease, Connective tissue disease, Dermatomyositis, Pregnancy