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Article
September 1988

Required Surgical Therapy in the Pediatric Patient With Dermatomyositis

Author Affiliations

From the Departments of Surgery (Drs Downey and Woolley) and Pediatrics (Dr Hanson), Divisions of Pediatric Surgery and Rheumatology, Childrens Hospital of Los Angeles; and the Departments of Surgery (Drs Downey and Woolley) and Pediatrics (Dr Hanson), University of Southern California School of Medicine, Los Angeles.

Arch Surg. 1988;123(9):1117-1120. doi:10.1001/archsurg.1988.01400330093014
Abstract

• A review of 96 patients with the established diagnosis of childhood dermatomyositis revealed that 15 patients required surgical therapy in addition to diagnostic biopsy. Four of the patients had perforation of the esophagointestinal tract, and 11 required surgical therapy for abscesses, calcific deposits, or treatment of pneumothorax. The life-threatening lesions were perforations of the esophagus and intestine. The best surgical therapy is closure, resection, and adequate drainage. Prognosis depends on treatment of the underlying medical disease.

(Arch Surg 1988;123:1117-1120)

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