{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:02:44Z","timestamp":1787169764239,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T00:00:00Z","timestamp":1572566400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Dermatomyositis (DM) is an idiopathic inflammatory myopathy characterized by progressive muscle weakness and pathognomonic skin eruptions. Systemic corticosteroid with or without an immunosuppressive agent is the current treatment of choice in most cases. Cutaneous disease in DM is often refractory and can become the most challenging component to manage effectively. Here, we report a case of recalcitrant DM in a 66-year-old female who sought chiropractic attention for recent episodes of pain and paresthesia in the neck and exacerbation of joint pain. As expected, the musculoskeletal complaints including neck pain, peripheral arthralgia, and muscle weakness that resolved within 1 month after starting treatment. Unexpectedly, dramatic remission of the characteristic skin rashes occurred concurrently. The underlying therapeutic mechanisms of chiropractic remain elusive. This case highlights the importance of family physicians becoming familiar with diagnosing the condition and using a multidisciplinary team approach to treat recalcitrant DM.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_839_19","type":"journal-article","created":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T00:29:28Z","timestamp":1574036968000},"page":"3742-3744","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Remission of recalcitrant dermatomyositis following a chiropractic adjustment"],"prefix":"10.4103","volume":"8","author":[{"given":"Eric C. P.","family":"Chu","sequence":"first","affiliation":[{"name":"New York Chiropractic and Physiotherapy Centre, New York Medical Group, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fa-Sain","family":"Lo","sequence":"additional","affiliation":[{"name":"New York Chiropractic and Physiotherapy Centre, New York Medical Group, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amiya","family":"Bhaumik","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Lincoln University College, Jalan Kota Bharu - Pengkalan Kubor, 15050 Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,11]]},"reference":[{"key":"R1-20260528","first-page":"1565","article-title":"Dermatomyositis","volume":"64","author":"Koler","year":"2001","journal-title":"Am Fam Physician"},{"key":"R2-20260528","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s12016-015-8496-5","article-title":"Cutaneous manifestations in dermatomyositis: Key clinical and serological features- A comprehensive review","volume":"51","author":"Muro","year":"2016","journal-title":"Clin Rev Allergy Immunol"},{"key":"R3-20260528","first-page":"409","article-title":"Dermatomyositis and malignancy","volume":"65","author":"Hu","year":"2019","journal-title":"Can Fam Physician"},{"key":"R4-20260528","doi-asserted-by":"crossref","first-page":"9141420","DOI":"10.1155\/2019\/9141420","article-title":"Biomarkers in adult dermatomyositis: Tools to help the diagnosis and predict the clinical outcome","volume":"2019","author":"Cassius","year":"2019","journal-title":"J Immunol Res"},{"key":"R5-20260528","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.jaad.2017.12.055","article-title":"Applicability of EULAR\/ACR classification criteria for dermatomyositis to amyopathic disease","volume":"79","author":"Patel","year":"2018","journal-title":"J Am Acad Dermatol"},{"key":"R6-20260528","first-page":"132","article-title":"The effects of chiropractic on the immune system: A review of the literature","volume":"23","author":"Allen","year":"1993","journal-title":"Chiro J Aust"},{"key":"R7-20260528","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/1746-1340-18-26","article-title":"Interleukin 2-regulated in vitro antibody production following a single spinal manipulative treatment in normal subjects","volume":"18","author":"Teodorczyk-Injeyan","year":"2010","journal-title":"Chiropr Osteopat"},{"key":"R8-20260528","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.jcm.2010.06.002","article-title":"Inflammatory response following a short-term course of chiropractic treatment in subjects with and without chronic low back pain","volume":"9","author":"Roy","year":"2010","journal-title":"J Chiropr Med"},{"key":"R9-20260528","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1038\/nature01321","article-title":"The inflammatory reflex","volume":"240","author":"Tracey","year":"2002","journal-title":"Nature"},{"key":"R10-20260528","doi-asserted-by":"crossref","first-page":"9","DOI":"10.21037\/acr.2019.04.04","article-title":"Remission of myasthenia gravis following cervical adjustment","volume":"3","author":"Chu","year":"2019","journal-title":"AME Case Rep"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_839_19","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:12:32Z","timestamp":1787166752000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_839_19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":10,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_839_19","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11]]},"assertion":[{"value":"2019-09-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}