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The pathology revealed diffuse mucosal ulceration, prominent lymphoplasmacytic infiltration, venous occlusion and arterial hyperplasia. Although GI manifestations due to GI vasculopathy are rare in adult DM and are often a delayed complication, in this patient, it was one of the initial manifestations of this condition. In addition to being a fatal complication, clinicians should be aware of these complications, as immunosuppression used to control the muscular and cutaneous inflammation may not control the GI vasculopathy.<\/jats:p>","DOI":"10.1136\/bcr-2015-213460","type":"journal-article","created":{"date-parts":[[2016,1,12]],"date-time":"2016-01-12T08:53:10Z","timestamp":1452588790000},"page":"bcr2015213460","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Colonic vasculopathy and perforation in the initial presentation of adult dermatomyositis in a patient with improving muscle weakness"],"prefix":"10.1136","volume":"2016","author":[{"given":"Nour","family":"Kibbi","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Yale University, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amenuve","family":"Bekui","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Yale New Haven Hospital, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lenore M","family":"Buckley","sequence":"additional","affiliation":[{"name":"Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,1,12]]},"reference":[{"key":"2025082707254636000_2016.jan12_1.bcr2015213460.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2009.04190.x"},{"key":"2025082707254636000_2016.jan12_1.bcr2015213460.2","doi-asserted-by":"crossref","unstructured":"Dourmishev LA , Doumishev AL . 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