Dermatomyositis with massive ascites

Seisuke Ota, Akinori Kasahara, Taku Yamada, Mitsune Tanimoto

Research output: Contribution to journalArticle

Abstract

There have been few reports of dermatomyositis causing ascites. Here we report a case of a 63-year-old man complaining of general fatigue and gastromegaly. Abdominal examination revealed distension without tenderness. Serum myogenic enzyme was elevated. Electromyographic investigation indicated low amplitude signs, which were compatible with muscle disorder. Abdominal paracentesis on the fifth day yielded 2,500 ml clear, serous fluid. The specific gravity was 1.026 (range 1.005-1.015), with a positive Rivalta reaction, 3.4 g/dl total protein, and 1.59 g/dl albumin, suggesting exudate. Excluding the other causes of exudative ascites, we considered that the ascites was caused by dermatomyositis.

Original languageEnglish
Pages (from-to)877-879
Number of pages3
JournalRheumatology International
Volume27
Issue number9
DOIs
Publication statusPublished - Jul 2007

Keywords

  • Ascites
  • Dermatomyositis

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology

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    Ota, S., Kasahara, A., Yamada, T., & Tanimoto, M. (2007). Dermatomyositis with massive ascites. Rheumatology International, 27(9), 877-879. https://doi.org/10.1007/s00296-007-0305-x