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Fumitaka Mizoguchi, Kazuki Takada, Kinya Ishikawa, Hidehiro Mizusawa, Hitoshi Kohsaka, Nobuyuki Miyasaka, A case of dermatomyositis with rhabdomyolysis, rescued by intravenous immunoglobulin, Modern Rheumatology, Volume 25, Issue 4, 22 June 2015, Pages 646–648, https://doi.org/10.3109/14397595.2013.843753
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Abstract
We describe a case of severe dermatomyositis (DM) complicated by rhabdomyolysis, acute tubular necrosis, and hemophagocytosis. The case failed to respond to corticosteroids, but showed rapid and significant improvement after the addition of intravenous immunoglobulin (IVIG). While the prognosis of DM is poor when it is complicated by rhabdomyolysis, the early administration of IVIG has the potential to be the cornerstone of its management.