{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,15]],"date-time":"2024-09-15T21:26:16Z","timestamp":1726435576298},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>To describe an unusual focal scleroderma-like skin changes in patient with dermatomyositis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Review of clinical records, laboratory investigations, and muscle and skin biopsies.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>The patient developed unusual skin lesions characterized by symmetrical atrophy and hardening of focal skin and muscle over the lateral upper arms and posterior shoulders, and the left temporal and pectoral areas. Extensive blood work-up for scleroderma and other connective-tissue diseases was negative. A skin biopsy showed distinct pathologic features including increased interstitial mucin, hyperpigmentation, and perivascular lymphocytic inflammation without severe fibrosis. The scleroderma-like skin changes and muscle weakness improved with immunotherapy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Dermatomyositis can manifest with focal scleroderma-like skin changes clinically and reticular erythematous mucinosis-like changes pathologically, and these distinct skin changes represent a new variant of skin lesions of dermatomyositis.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/cnd.0b013e3182461966","type":"journal-article","created":{"date-parts":[[2012,5,23]],"date-time":"2012-05-23T11:50:46Z","timestamp":1337773846000},"page":"191-195","update-policy":"http:\/\/dx.doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Dermatomyositis Presenting With Focal Scleroderma-Like Skin Changes"],"prefix":"10.1097","volume":"13","author":[{"given":"Yaohui","family":"Chai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tulio E.","family":"Bertorini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raja B.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Barry","family":"Randall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariallan K.","family":"Shadle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-1-20240808","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/S0140-6736(03)14368-1","article-title":"Polymyositis and dermatomyositis.","volume":"362","author":"Dalakas","year":"2003","journal-title":"Lancet"},{"key":"R2-1-20240808","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.autrev.2007.12.004","article-title":". Scleroderma-like disorders.","volume":"7","author":"Foti","year":"2008","journal-title":"Autoimmun Rev"},{"key":"R3-1-20240808","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.rdc.2007.11.001","article-title":"Scleroderma-like fibrosing disorders.","volume":"34","author":"Boin","year":"2008","journal-title":"Rheum Dis Clin North Am"},{"key":"R4-1-20240808","first-page":"1565","article-title":"Dermatomyositis.","volume":"64","author":"Koler","year":"2001","journal-title":"Am Fam Physician"},{"key":"R5-1-20240808","first-page":"1140","article-title":"Dermatopolymyositis and other connective tissue diseases: a review of 105 cases.","volume":"12","author":"Tymms","year":"1985","journal-title":"J Rheumatol"},{"key":"R6-1-20240808","doi-asserted-by":"crossref","first-page":"652","DOI":"10.5858\/2008-132-652-ID","article-title":"Interface dermatitis.","volume":"132","author":"Crowson","year":"2008","journal-title":"Arch Pathol Lab Med"},{"key":"R7-1-20240808","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1159\/000092293","article-title":". Reticular erythematous mucinosis occurring in a brother and sister.","volume":"212","author":"Caputo","year":"2006","journal-title":"Dermatology"}],"container-title":["Journal of Clinical Neuromuscular Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00131402-201206000-00001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T23:22:33Z","timestamp":1723159353000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00131402-201206000-00001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012]]}},"URL":"https:\/\/doi.org\/10.1097\/cnd.0b013e3182461966","relation":{},"ISSN":["1522-0443"],"issn-type":[{"type":"print","value":"1522-0443"}],"subject":[],"published":{"date-parts":[[2012,6]]}}}