Year: 1999
Type: article
Study design: Case Report
Abstract: We report a case of juvenile dermatomyositis in which a dilated atonic esophagus was associated with delayed gastric emptying and intestinal mucosal thickening, resulting in a radiographic "stacked coin" appearance. These findings, which can also occur in infectious, neoplastic, or other immune-mediated diseases, broaden the spectrum of gastrointestinal tract manifestations in juvenile dermatomyositis. Physicians should be alert for these treatable manifestations in children with myositis who present with unexplained gastrointestinal symptoms, which are reversible with immunosuppressive therapy.
Source: The Journal of Pediatrics
Institutions: National Institutes of Health, Center for Biologics Evaluation and Research, United States Food and Drug Administration, Children's Hospital of Philadelphia, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health Clinical Center, University of Pennsylvania
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,570
OpenAlex ID: W2018884461