Document Detail


Dermatomyositis with massive ascites.
MedLine Citation:
PMID:  17287935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There have been few reports of dermatomyositis causing ascites. Here we report a case of a 63-year-old man complaining of general fatigue and gastromegaly. Abdominal examination revealed distension without tenderness. Serum myogenic enzyme was elevated. Electromyographic investigation indicated low amplitude signs, which were compatible with muscle disorder. Abdominal paracentesis on the fifth day yielded 2,500 ml clear, serous fluid. The specific gravity was 1.026 (range 1.005-1.015), with a positive Rivalta reaction, 3.4 g/dl total protein, and 1.59 g/dl albumin, suggesting exudate. Excluding the other causes of exudative ascites, we considered that the ascites was caused by dermatomyositis.
Authors:
Seisuke Ota; Akinori Kasahara; Taku Yamada; Mitsune Tanimoto
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-02-08
Journal Detail:
Title:  Rheumatology international     Volume:  27     ISSN:  0172-8172     ISO Abbreviation:  Rheumatol. Int.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-12     Completed Date:  2008-04-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206885     Medline TA:  Rheumatol Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  877-9     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, The Himeji St. Mary's Hospital, Himeji, Japan. seisukeota@mail.goo.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Ascites / diagnosis,  etiology*,  physiopathology*
Biological Markers / analysis
Dermatomyositis / complications*,  diagnosis,  physiopathology*
Diagnosis, Differential
Electromyography
Fatigue / etiology
Humans
Japan
Male
Middle Aged
Muscle, Skeletal / physiopathology
Paracentesis
Stomach / physiopathology
Chemical
Reg. No./Substance:
0/Biological Markers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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