Neumomediastino y necrosis cutánea en asociación a dermatomiositis: presentación de un caso clínico y revisión de la literatura
Date
2015
Type:
Artículo
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Publisher
Sociedad Médica de Santiago
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Abstract
We report a 37 years old male with a dermatomyositis treated with oral cyclophosphamide. He was admitted to the hospital due to a zone of skin necrosis with purulent exudate, located in the second left toe. A complete blood count showed a leukocyte count of 2,600 cells/mm3. A Chest CAT scan showed a pneumomediastinum with emphysema of adjacent soft tissue. Cyclophosphamide was discontinued and leukocyte count improved. The affected toe was amputated and a chest CAT scan showed a partial resolution of the pneumomediastinum. We discuss and review the pathogenesis, clinical presentation and management of pneumomediastinum and cutaneous necrosis in association with dermatomyositis.
Description
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Citation
Gallardo C N, Valenzuela L O, Ibáñez V S. Neumomediastino y necrosis cutánea en asociación a dermatomiositis: presentación de un caso clínico y revisión de la literatura [Pneumomediastinum and cutaneous necrosis in dermatomyositis: Report of one case]. Rev Med Chil. 2015 Jan;143(1):120-3
Keywords
Dermatomyositis, Mediastinal emphysema, Skin ulcer, Vascular diseases