Two case reports of MDA5-type seronegative dermatomyositis

Dermatomyositis (DM) is an autoimmune idiopathic inflammatory myopathy with characteristic dermatologic manifestations. Myositis-specific autoantibodies (MSAs) delineate DM subtypes and their prognoses. Uncommonly, patients present with distinct clinical features of DM, including photosensitive derm...

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Main Authors: Lauren C Balogh, Airiss R Chan, Elaine A Yacyshyn, Robert Gniadecki
Format: Article
Language:English
Published: SAGE Publishing 2024-12-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X241309094
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author Lauren C Balogh
Airiss R Chan
Elaine A Yacyshyn
Robert Gniadecki
author_facet Lauren C Balogh
Airiss R Chan
Elaine A Yacyshyn
Robert Gniadecki
author_sort Lauren C Balogh
collection DOAJ
description Dermatomyositis (DM) is an autoimmune idiopathic inflammatory myopathy with characteristic dermatologic manifestations. Myositis-specific autoantibodies (MSAs) delineate DM subtypes and their prognoses. Uncommonly, patients present with distinct clinical features of DM, including photosensitive dermatitis, heliotrope rash, Gottron’s papules, and nailfold changes; however, their autoimmune serology is negative for expected MSAs. Herein, we describe two unconventional cases of seronegative, amyopathic MDA5-DM and offer potential explanations, including fluctuating antibody levels, non-MSA pathophysiology, and limitations in current immunoassays.
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publisher SAGE Publishing
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series SAGE Open Medical Case Reports
spelling doaj-art-c95de034b9b34abd8a47ddaf59202cd92025-08-20T02:31:34ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2024-12-011210.1177/2050313X241309094Two case reports of MDA5-type seronegative dermatomyositisLauren C Balogh0Airiss R Chan1Elaine A Yacyshyn2Robert Gniadecki3Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, CanadaDivision of Dermatology, Department of Medicine, University of Alberta, Edmonton, AB, CanadaDivision of Rheumatology, Department of Medicine, University of Alberta, Edmonton, AB, CanadaDivision of Dermatology, Department of Medicine, University of Alberta, Edmonton, AB, CanadaDermatomyositis (DM) is an autoimmune idiopathic inflammatory myopathy with characteristic dermatologic manifestations. Myositis-specific autoantibodies (MSAs) delineate DM subtypes and their prognoses. Uncommonly, patients present with distinct clinical features of DM, including photosensitive dermatitis, heliotrope rash, Gottron’s papules, and nailfold changes; however, their autoimmune serology is negative for expected MSAs. Herein, we describe two unconventional cases of seronegative, amyopathic MDA5-DM and offer potential explanations, including fluctuating antibody levels, non-MSA pathophysiology, and limitations in current immunoassays.https://doi.org/10.1177/2050313X241309094
spellingShingle Lauren C Balogh
Airiss R Chan
Elaine A Yacyshyn
Robert Gniadecki
Two case reports of MDA5-type seronegative dermatomyositis
SAGE Open Medical Case Reports
title Two case reports of MDA5-type seronegative dermatomyositis
title_full Two case reports of MDA5-type seronegative dermatomyositis
title_fullStr Two case reports of MDA5-type seronegative dermatomyositis
title_full_unstemmed Two case reports of MDA5-type seronegative dermatomyositis
title_short Two case reports of MDA5-type seronegative dermatomyositis
title_sort two case reports of mda5 type seronegative dermatomyositis
url https://doi.org/10.1177/2050313X241309094
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AT elaineayacyshyn twocasereportsofmda5typeseronegativedermatomyositis
AT robertgniadecki twocasereportsofmda5typeseronegativedermatomyositis