Andrés Arango-Vieira, Departamento de Cuidados Críticos, Hospital Alma Mater de Antioquia, Medellín, Colombia
Pedro Duque-Duque, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
Juliana Valencia-Chica, Departamento de Cardiología, Hospital Alma Mater de Antioquia, Medellín, Colombia
David Gómez, Departamento de Cuidados Críticos, Hospital Alma Mater de Antioquia, Medellín, Colombia
Carolina Cardona-Buitrago, Departamento de Cardiología, Hospital Alma Mater de Antioquia, Medellín, Colombia
Dermatomyositis is an idiopathic inflammatory myopathy primarily affecting the skin and muscles, with variable clinical presentation with pathognomonic skin lesions and proximal muscle weakness. Among its complications are cardiac manifestations, which represent the leading cause of death in myositis. The case of a 36-year-old woman is presented, whose main reason for consultation was muscle weakness. She was diagnosed with dermatomyositis and developed myopericarditis during her hospital stay. Treatment was provided with steroids, immunoglobulin, and cyclophosphamide, resulting in improvement of her condition and subsequent hospital discharge. This case illustrates a rare but serious complication of dermatomyositis, highlighting the importance of cardiovascular monitoring in these patients.
Keywords: Dermatomyositis. Myopericarditis. Heart failure. Inflammatory myopathy. Anti-Mi-2 antibodies.