{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T07:57:55Z","timestamp":1747209475002,"version":"3.40.5"},"reference-count":0,"publisher":"National Library of Serbia","issue":"9-10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med pregl","MED PREGLED"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>Introduction. Polymiositis belongs to the group of inflammatory myopathies\n   which are manifested by muscle weakness of the shoulder blade and pelvic\n   region. The presence of typical skin manifestations is suggestive of\n   dermatomyositis. These patients may also develop dysphagia (10-54%) as a\n   result of involvement of the oropharyngeal and upper oesophageal striated\n   muscles. Dermatomyositis may also be associated with another systemic disease\n   or malignancy. Case Report. Hereby is presented the case of a 42-year-old\n   female patient hospitalized at the Department of Allergy and Immunology,\n   Clinical Center of Serbia for the shoulder blade and pelvic muscle weakness\n   and pains in the small and large joints, eyelid edema, facial and neckline\n   redness, difficult swallowing and loss of body mass. Based on the presence of\n   proximal muscle weakness, increased enzyme serum levels (lactic acid\n   dehydrogenase, glutamic-oxalacetic transaminase), positive\n   electroneuromyography findings, typical skin changes and positive muscle\n   biopsy, the patient was diagnosed to have dermatomyositis. Both radioscopy\n   and esophagography revealed some disturbances in all phases of swallowing,\n   absence of all primary and secondary peristaltic waves accompanied by\n   contrast medium aspiration. Additionally, esophageal manometry proved the\n   absence of esophageal peristalsis. Additional examinations ruled out the\n   presence of any malignancies. The patient underwent glycocorticoid and\n   azatioprim treatment along with specific dietary regimen, symptomatic and\n   physical therapy, which led to favorable clinical outcome. Conclusion.\n   Dermatomyositis-associated dysphagia may lead to severe complications such as\n   cachexia and aspiration pneumonia. In addition to the management of\n   underlying disease, the treatment includes special dietary regimen,\n   rehabilitation and even interventional surgical procedures, if necessary.<\/jats:p>","DOI":"10.2298\/mpns1210432r","type":"journal-article","created":{"date-parts":[[2012,9,5]],"date-time":"2012-09-05T08:59:07Z","timestamp":1346835547000},"page":"432-435","source":"Crossref","is-referenced-by-count":0,"title":["Importance of dysphagia examination in patient with dermatomyositis: Case report"],"prefix":"10.2298","volume":"65","author":[{"given":"Sanvila","family":"Raskovic","sequence":"first","affiliation":[{"name":"Medicinski fakultet, Beograd + Klini\u010dki centar Srbije, Klinika za alergologiju i imunologiju, Beograd"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasna","family":"Bolpacic","sequence":"additional","affiliation":[{"name":"Medicinski fakultet, Beograd + Klini\u010dki centar Srbije, Klinika za alergologiju i imunologiju, Beograd"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7047-3538","authenticated-orcid":false,"given":"Vesna","family":"Tomic-Spiric","sequence":"additional","affiliation":[{"name":"Medicinski fakultet, Beograd + Klini\u010dki centar Srbije, Klinika za alergologiju i imunologiju, Beograd"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ljiljana","family":"Stefanovic","sequence":"additional","affiliation":[{"name":"Klini\u010dki centar Srbije, Klinika za alergologiju i imunologiju, Beograd"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirjana","family":"Bogic","sequence":"additional","affiliation":[{"name":"Medicinski fakultet, Beograd + Klini\u010dki centar Srbije, Klinika za alergologiju i imunologiju, Beograd"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandra","family":"Peric-Popadic","sequence":"additional","affiliation":[{"name":"Medicinski fakultet, Beograd + Klini\u010dki centar Srbije, Klinika za alergologiju i imunologiju, Beograd"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","container-title":["Medicinski pregled","Medical review"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T09:23:37Z","timestamp":1685352217000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0025-81051210432R"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":0,"journal-issue":{"issue":"9-10","published-print":{"date-parts":[[2012]]}},"URL":"https:\/\/doi.org\/10.2298\/mpns1210432r","relation":{},"ISSN":["0025-8105","1820-7383"],"issn-type":[{"type":"print","value":"0025-8105"},{"type":"electronic","value":"1820-7383"}],"subject":[],"published":{"date-parts":[[2012]]}}}