Endocrine diseases with dermatomyositis
Huang, Y.Q.; Feng, H.Q.
Chinese Medical Journal 99(2): 147-150
1986
ISSN/ISBN: 0366-6999 PMID: 3093164 Document Number: 270065
This paper reports one case each of Type I diabetes and chronic lymphocytic thyroiditis both associated with dermatomyositis. The pathogenesis shows the same protein successively suffering from two diseases which may be presumed to be related to autoimmune disease. Both patients showed transient immunologic hyperfunction, IgG and IgM being elevated, ANF positive and micros Ab 1:1,280. Prednisone is good for chronic lymphocytic thyroiditis associated with dermatomyositis, but it is harmful in diabetes with dermatomyositis complicated by ketoacidosis as prednisone poisoning may occur, Triptergyium wilfordii, azathioprine and insulin were used to treat the dermatomyositis with diabetes satisfactorily.