Background and purpose This case report describes patients who have been admitted to an inpatient rehabilitation facility after being diagnosed with dermatomyositis. The purpose of this case study is to describe patients diagnosed with dermatomyositis and detail the rehabilitation management provided to improve patient functional status. Case description On October 17, 2013, a 30 - year - old white woman was admitted to an inpatient rehabilitation facility. The patient developed progressive limb weakness in May 2013.
Dermatomyositis (DM) is the most easily diagnosed myositis due to a purple red rash in the form of a canola flower. Rash, face, chest, neck, back rash. It also occurs in joints such as knuckle, elbow, knee, toe and so on. Muscle weakness usually occurs. Inclusion body myositis (IBM) is a more common type of myositis in men than in women. Most of the people who are affected by this disease are over 50 years old and IBM starts with the weakness of the muscles of the wrists, fingers and thigh muscles. Muscle weakness is more pronounced in small muscles, is asymmetric, one side of the body is more affected than the others. IBM is considered to be genetic
Myositis represents muscle inflammation. There are several types of myositis, the most common being polymyositis and dermatomyositis. Polymyositis causes muscle weakness near the center of the body and affects both sides of the body. Dermatomyositis causes muscle weakness and rash. Inclusion body myositis mainly develops in elderly people. When muscular weakness becomes severe, muscle atrophy and deep sacral reflex decrease. Unlike polymyositis and dermatomyositis, muscle weakness is usually asymmetric and may stick out to the small muscles of the forearm and lower limbs.
Inflammatory myopathy is a group of diseases with chronic muscle inflammation, muscle weakness, and in some cases muscle pain. These include dermatomyositis, polymyositis, inclusion body myositis, juvenile multiple dermatomyositis and necrotic autoimmune muscle disease. Several sources of myositis are known, such as drugs, toxins, infections, imbalances in electrolyte levels, trauma, thyroid, genetic diseases, but many physicians and researchers have found that most myositis (idiopathic inflammatory I believe in muscle disease) is a systemic reaction caused by false immunity called autoimmune disease. The immune system usually fights infections, but since the autoimmune disease is often unknown, the immune system attacks the body's own healthy tissue.