Case reportRare Association of Chronic Lymphocytic Thyroiditis with Dermatomyositis
Section snippets
Case Report
A 30-year-old man was admitted to the hospital complaining of musculoskeletal pain in his proximal limb muscles, especially of the legs and thighs, weakness, and fever 38°C. He mentioned occasional constipation, loss of appetite and dry skin. Physical examination revealed a diffuse swelling of the left lobe of the thyroid gland which was very firm, an edematous erythema in face, neck, chest and extremities as well as fever 38°C. Muscle strength of the extremities was grade 2. The fine needle
Discussion
DM is a disease of presumed autoimmune etiology in which skin and skeletal muscles are damaged by a nonsuppurative inflammatory process dominated by lymphocytic infiltration 2, 7. In about 8.5% of the patients, there appears an underlying malignancy, especially in those >40 years of age. (8). This malignancy may precede or follow the onset of myositis by up to 2 years (8). The most common malignancies are lung, pancreatic, stomach, colorectal, ovarian and breast cancer as well as
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