{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:10:13Z","timestamp":1762506613854,"version":"3.40.5"},"reference-count":0,"publisher":"National Library of Serbia","issue":"Suppl. 2","license":[{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Srp Arh Celok Lek","SRP ARH CELOK LEK","SRP ARK CELOK LEK","SRPSKI ARHIV CELOKUP"],"published-print":{"date-parts":[[2005]]},"abstract":"<jats:p>The association of systemic lupus erythematosus (SLE) with idiopathic\n   polymyositis or dermatomyositis is reported to occur in the range of 4-16%.\n   Myositis can occur before or after SLE, or sporadically both diseases can be\n   present simultaneously. This case report concerns a 36-year-old female\n   patient suffering from Raynaud?s phenomenon, polyarthralgia in the small\n   joints of the hands, and skin changes compatible with Gotron?s indications.\n   Symmetric proximal muscle weakness of the extremities, fever of up to 40?C,\n   heliotrope rashes with erythematous changes in the face, upper arms, and\n   posterior shoulders occurred subsequently. Laboratory analyses revealed\n   increased acute phase reactants, hypochromic anaemia, lymphopenia, and\n   increased levels of all muscle enzymes. Immunoserology demonstrated positive\n   ANA, anti-Sm, and anticardiolipin antibodies (aCL), while anti dsDNA, anti\n   Ro, anti La, and anti Jo-1 antibodies proved negative. Hypocomplementaemia\n   and elevated levels of immune complexes were also detected. Pathologic\n   sediment and proteinuria were revealed via urine analyses, while a kidney\n   biopsy confirmed lupus nephritis (type IVa according to the World Health\n   Organisation classification). Biopsy of erythematous changes of the posterior\n   shoulder demonstrated leukocytoclastic vasculitis. Electromyography of the\n   lower extremities established myopathic changes. Inflammation of the muscles\n   was confirmed via magnetic resonance imaging. The patient was categorised as\n   having two separate coexistent diseases - SLE and dermatomyositis. Both the\n   classification criteria of the American College of Rheumatology for SLE and\n   the diagnostic criteria for dermatomyositis, proposed by Bohon and Peter,\n   were fulfilled simultaneously. Treatment commenced with pulses of\n   methylprednisolone and continued with oral therapy, including Resochin.\n   Pulses of intravenous cyclophosphamide were also administered. After six\n   weeks of therapy, biohumoral remission of both diseases was achieved, while\n   complete recovery from muscle weakness was accomplished after four months.<\/jats:p>","DOI":"10.2298\/sarh05s2137r","type":"journal-article","created":{"date-parts":[[2015,7,30]],"date-time":"2015-07-30T13:30:37Z","timestamp":1438263037000},"page":"137-140","source":"Crossref","is-referenced-by-count":7,"title":["Systemic lupus erythematosus and dermatomyositis: Case report"],"prefix":"10.2298","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5760-492X","authenticated-orcid":false,"given":"Gorica","family":"Ristic","sequence":"first","affiliation":[{"name":"Military Medical Academy, Department of Rheumatology and Clinical Immunology, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoran","family":"Paunic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Department of Nephrology, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9308-3076","authenticated-orcid":false,"given":"Danilo","family":"Vojvodic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Institute for Medical Research, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5774-3858","authenticated-orcid":false,"given":"Milan","family":"Petronijevic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Department of Rheumatology and Clinical Immunology, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Branislava","family":"Glisic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Department of Rheumatology and Clinical Immunology, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dusan","family":"Stefanovic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Department of Rheumatology and Clinical Immunology, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","container-title":["Srpski arhiv za celokupno lekarstvo"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T10:24:12Z","timestamp":1685355852000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0370-817905137R"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005]]},"references-count":0,"journal-issue":{"issue":"Suppl. 2","published-print":{"date-parts":[[2005]]}},"URL":"https:\/\/doi.org\/10.2298\/sarh05s2137r","relation":{},"ISSN":["0370-8179","2406-0895"],"issn-type":[{"type":"print","value":"0370-8179"},{"type":"electronic","value":"2406-0895"}],"subject":[],"published":{"date-parts":[[2005]]}}}