Dermatomyositis Diagnosis and Treatment in the Inpatient Setting

• Published in: Current dermatology reports Vol. 12; no. 2; pp. 56 - 68
• Main Authors: Hejazi, Emily Z., Mittal, Lavanya, Sicco, Kristen Lo, Mazori, Daniel R., Femia, Alisa N., Caplan, Avrom S.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.06.2023
• Subjects: Dermatology; Medicine; Medicine & Public Health; Review; Topical Collection on Hospital-based Dermatology; Inpatient dermatology; Interstitial lung disease; Vasculopathic ulceration; Dermatomyositis; Gottron’s papules; MDA5
• ISSN: 2162-4933; 2162-4933
• DOI: 10.1007/s13671-023-00389-6

Purpose of Review Dermatomyositis can present with a range of manifestations and severity that may necessitate hospital admission. Dermatologists are frequently consulted for patients with dermatomyositis inpatient. Herein we describe clinical features and management of multisystem complications of dermatomyositis with a focus on the inpatient setting. Recent Findings Patients with dermatomyositis are at risk for hospitalization due to disease flares, infections, and systemic complications. Furthermore, patients may seek care for symptoms including shortness of breath, fever, or cutaneous eruptions which can lead to a new diagnosis of dermatomyositis. Patients with dermatomyositis have increased healthcare utilization and necessitate multidisciplinary and collaborative care. Cutaneous findings may be subtle yet provide important prognostic information. Symptoms arising from skin disease may also be chronic and refractory. Summary Dermatologists are essential in both diagnosing and managing dermatomyositis and must be attuned to the multiple systemic manifestations and complications that impact inpatient care.