Hosting 723 files, 2931 images, and 4 contributors.

Random Case

Giant Cerebral Aneurysm
Joseph Junewick, MD FACR
over 9 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Case History

Teenager with abdominal pain.

Case Detail

Anatomy: Musculoskeletal
Joseph Junewick, MD FACR
Diagnostic Category: Infectious-Inflammatory
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: CT
Adobe32 PDF Imagej32 ImageJA

Case Images

Academic Case Revealer (Click to Expand)

Reveal Findings

CT – Multiplanar images show extensive truncal subcutaneous and fascial calcifications.

Reveal Discussion

Dermatomyositis is a rare immune-related myopathic disorder. Clinical presentation includes subacute to acute onset of proximal muscle weakness and a range of erythematous skin changes. The classic dermatologic manifestations include a heliotrope rash of the upper eyelids and bluish red plaques on the backs of the knuckles. Increased serum creatine kinase, dysphagia, and interstitial lung disease may also be seen. Pathogenesis of dermatomyositis is characterized by immune complex deposition in vessel walls and the presence of microtubuloreticular structures in endothelial cells. Definitive diagnosis of dermatomyositis requires a muscle biopsy to distinguish it from other immune-related myopathic disorders. The risk for cancer is increased in these patients.

Reveal Diagnosis


Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare