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Journal of Case Reports
Vasculitic Ulcers in a Young Female with Dermatomyositis: An Unusual Case
Sankha Shubhra Chakrabarti, Annesh Bhattacharjee, Indrajeet Singh Gambhir 
Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Corresponding Author:
Dr. I S Gambhir
Email: iac2k10@gmail.com
Received: 21-NOV-2016 Accepted: 23-JAN-2017 Published Online: 25-FEB-2017
DOI: http://dx.doi.org/10.17659/01.2017.0021
Abstract
Background: Vasculitic ulcers are one of the rarer cutaneous manifestations of dermatomyositis. They are considered to be a predictor of underlying malignancy. Case Report: We describe a case of extensive cutaneous vasculitic ulcers in a young female patient of dermatomyositis without a background of systemic connective tissue disorder or malignancy. Therapy with steroids and methotrexate resulted in swift remission in the patient. Conclusion: Cutaneous leukocytoclastic vasculitis in a patient of dermatomyositis shows good response to steroids complemented by steroid sparing agents. 
Keywords : Connective Tissue Diseases, Dermatomyositis, Methotrexate, Neoplasms, Steroids, Leukocytoclastic Vasculitis.
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