Top

Published in:

01-07-2019 | Polymyositis | Case Based Review

Juvenile polymyositis associated with ureteral necrosis: a diagnostic and therapeutic dilemma—case report and review of the literature

Authors: Ruby Haviv, Tania Zehavi, Avishalom Pomeranz, Ilan Leibovitch, Amos Neheman, Yosef Uziel

Published in: Clinical Rheumatology | Issue 7/2019

Abstract

We describe an 11-year-old girl, diagnosed with juvenile polymyositis (JPM), who developed right ureteral obstruction secondary to necrosis. We emphasize the dilemmas regarding optimal timing for surgical intervention and medical treatment. Vascular involvement, which could be a part of juvenile dermatomyositis, may also be a feature of JPM. We discuss the association between vasculopathy and ureteral necrosis and review the literature regarding similar conditions. Whether the ureteral necrosis is a specific feature of vasculopathy, or a result of visceral calcinosis, needs to be further explored.

Stübgen JP (2017) Juvenile dermatomyositis/polymyositis and lymphoma. J Neurol Sci 377:19–24CrossRef

Enders FB, Bader-Meunier B, van Royen-Kerkhof A et al (2017) Consensus-based recommendations for the management of juvenile dermatomyositis. Ann Rheum Dis 76:329–340CrossRef

Grossiord A, Lacert P et al (1978) A case of bilateral ureteral necrosis in dermatomyositis in a child. Annals de Medicine Interne 129(1):1–3

Bléry M, Lacert P, Touboul A (1978) Lithiasis and bilateral necrosis of the ureters occurring during dermatomyositis. A definite entity or a coincidence? J Radiol Electrol Med Nucl 59(4):279–282PubMed

Le Guillou M, Richard F, Küss R et al (1980) Bilateral ureteral necrosis in a child with dermatomyositis. Eur Urol 6(3):190–191CrossRef

Borrelli M, Prado MJ, Arap S et al (1988) Ureteral necrosis in dermatomyositis. J Urol 139(6):1275–1277CrossRef

Duarte JD, Denes FT, Salum AM (2006) Ureteral calcinosis in juvenile dermatomyositis: successful precocious surgical management. International Brazilian J Urol 32(5):574–577CrossRef

Huang KH, Hsieh SC, Chen J et al (2007) Dermatomyositis associated with bilateral ureteral spontaneous rupture. J Formosan Med Association 106(3):251–254CrossRef

Gerami P, Sontheimer RD et al (2007) A systematic review of juvenile-onset clinically amyopathic dermatomyositis. Brit J Dermatol 157(4):637–644CrossRef

10.

Shah M, Rider LG et al; with the Childhood Myositis Heterogeneity Collaborative Study Group (2013) The clinical phenotypes of the juvenile idiopathic inflammatory myopathies. Medicine (Baltimore) 92(1):25–41CrossRef

11.

Rider LG, Nistala K (2016) The juvenile idiopathic inflammatory myopathies: pathogenesis, clinical and autoantibody phenotypes, and outcomes. J Int Med 280:24–38CrossRef

12.

Rider LG, Lindsley CB, Miller FW (2016) Juvenile dermatomyositis. In: Petty RE, Laxer RM, Lindsley CB, Wedderburn LR (eds) Textbook of pediatric rheumatology, 7th edn. Elsevier, Philadelphia, pp 351–383CrossRef

13.

Ruperto N, Pistorio A et al; Oliveira S, for the Paediatric Rheumatology International Trials Organisation (PRINTO) (2016) Prednisone versus prednisone plus ciclosporin versus prednisone plus methotrexate in new-onset juvenile dermatomyositis: a randomised trial. Lancet 387(10019):671–678CrossRef

14.

Rider LG, Miller FW (2011) Phenotypes as clues to deciphering the clinical presentations, pathogenesis, and treatment of the idiopathic inflammatory myopathies. JAMA 305(2):183–190CrossRef

15.

Moghadam-Kia S, Aggarwal R, Oddis CV (2017) Biologics for idiopathic inflammatory myopathies. Curr Opinion Rheumatol 29(6):645–651

Title: Juvenile polymyositis associated with ureteral necrosis: a diagnostic and therapeutic dilemma—case report and review of the literature
Authors: Ruby Haviv
Tania Zehavi
Avishalom Pomeranz
Ilan Leibovitch
Amos Neheman
Yosef Uziel
Publication date: 01-07-2019
Publisher: Springer London
Keywords: Polymyositis
Diseases of the neuromuscular synapses and muscles
Polymyositis
Juvenile Dermatomyositis
Dermatomyositis
Urolithiasis
Myopathy
Published in: Clinical Rheumatology / Issue 7/2019
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI: https://doi.org/10.1007/s10067-019-04576-4

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Juvenile polymyositis associated with ureteral necrosis: a diagnostic and therapeutic dilemma—case report and review of the literature

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 7/2019

Elevated circulating T cell subsets and cytokines expression in patients with rheumatoid arthritis

Validation of Turkish version of the Scleroderma Health Assessment Questionnaire

Risk factors of relapse in pulmonary sarcoidosis treated with corticosteroids

Broad-range 16 s rDNA PCR in synovial fluid does not improve the diagnostic performance of septic arthritis in native joints in adults: cross-sectional single-center study in 95 patients

Incidence and prevalence of granulomatosis with polyangiitis and microscopic polyangiitis in health management organization in Argentina: a 15-year study

MEFV gene mutations in children with Henoch–Schönlein purpura and their correlations—do mutations matter?

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page