No myopathic dermatomyositis symptoms?

summary

Dermatomyositis is a thorny disease. My mother-in-law is 69 years old. Unfortunately, she has a dermatomyositis without myopathy. Usually, her eyes are purplish red, and her face is edematous. There are many purplish red patches on her body. All day long, she is weak and in low spirits, and her appetite also drops. We are very worried about her mother-in-law, However, how to take care of her in our life is very helpful to her condition. I'd like to share with you here.

No myopathic dermatomyositis symptoms?

First: topical use: because the skin damage of ADM is often photosensitive, experts suggest that sunscreen with sun protection index (SPF) 30 or higher can have obvious effect on photosensitive skin damage, but there is no targeted clinical study at present. Topical corticosteroid agents such as mometasone furoate cream (eloxone) or hydrocortisone butyrate cream (youzhuoer) can also achieve better efficacy. It has been reported that 0.1% tacrolimus 33 has certain effect on individual cases.

Second: antihistamines31: some patients have skin itching and other symptoms. Long acting antihistamines such as diphenhydramine and hydroxyzine can relieve the symptoms to a certain extent. Because the first generation of H1 receptor antagonist is easy to pass through the blood-brain barrier, it will produce side effects such as fatigue and drowsiness, which can alleviate the symptoms of itching at night in some patients. Work at height, drivers and fine workers are prohibited.

Third: antimalarial drugs: good anti photosensitive effect, mainly used to control skin lesions. Cox nh34 has been reported to have a significant effect on photosensitive ADM, with the treatment dose of 200-300 mg / D, but it can induce myopathy, and patients have progressive myasthenia, which is easily confused with the progress of myositis. Muscle biopsy can determine the cause. The main side effect is the damage to the retina, and the toxicity of chloroquine is greater than hydroxychloroquine. Generally, the safe dose of chloroquine is not more than 4 mg / kg · D, and hydroxychloroquine is not more than 6.5 mg / kg · D. during the medication, fundus examination and visual field examination should be performed every 6 ~ 12 months.

matters needing attention

Myositic dermatomyositis belongs to autoimmune disease and paraneoplastic connective tissue disease. It should be followed up regularly (at least for 24 months), as well as comprehensive physical examination, laboratory and imaging examination. The purpose is to detect the concomitant malignant tumor in the body as soon as possible. It is suggested to go to a regular hospital for examination and timely treatment