{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T11:11:34Z","timestamp":1767006694027,"version":"3.40.5"},"reference-count":7,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T00:00:00Z","timestamp":1697155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Dermatology"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This case study illustrates a 63\u2010year\u2010old Japanese woman who presented with anti\u2010melanoma differentiation\u2010associated gene 5 antibody\u2013positive dermatomyositis. She was administered a therapeutic regimen consisting of corticosteroids, tacrolimus, and cyclophosphamide. However, after a month of treatment, symptoms of confusion and depressive tendencies emerged, followed by the manifestation of hematuria, thrombocytopenia, and fragmented erythrocytes. A disintegrin\u2010like and metalloprotease with thrombospondin type 1 motifs 13 activity was 45%. Thrombotic microangiopathy was contemplated, yet a definitive diagnosis remained elusive. She died 2\u2009months after admission. Although the occurrence of thrombotic microangiopathy in patients with dermatomyositis is rare, the prognosis is poor, emphasizing the importance of prompt diagnosis and treatment.<\/jats:p>","DOI":"10.1111\/1346-8138.17004","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T10:30:01Z","timestamp":1697193001000},"page":"448-452","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Anti\u2010melanoma differentiation\u2010associated gene 5 antibody\u2013positive dermatomyositis with possible complication of thrombotic microangiopathy"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2766-3659","authenticated-orcid":false,"given":"Yumi","family":"Ito","sequence":"first","affiliation":[{"name":"Department of Dermatology Japan Community Health Care Organization Chukyo Hospital  Nagoya 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