Dermatomyositis Treatment in Metro Atlanta

Overview of Dermatomyositis

Dermatomyositis is a rare inflammatory disease that affects the muscles and skin. It is characterized by muscle weakness and a distinctive skin rash. Dermatomyositis can occur at any age but is most commonly seen in adults between 40 and 60 years old and in children between 5 and 15 years old. Early diagnosis and treatment at Arthritis and Rheumatology of Georgia (ARG) are essential for managing symptoms and preventing complications.

Symptoms of Dermatomyositis

• Muscle Weakness: Gradual weakening of muscles, especially those near the trunk, such as the hips, thighs, shoulders, and upper arms.
• Skin Rash: A violet-colored or dusky red rash, often on the face, eyelids, knuckles, elbows, knees, chest, and back.
• Gottron’s Papules: Raised, scaly bumps over the knuckles, elbows, and knees.
• Heliotrope Rash: Purple or red discoloration on the upper eyelids, sometimes with swelling.
• Fatigue: General feeling of tiredness and lack of energy.
• Difficulty Swallowing: Known as dysphagia, due to weakened throat muscles.
• Shortness of Breath: Caused by weakening of the chest muscles.

Diagnosis of Dermatomyositis

• Medical History and Physical Examination: Conducted by a rheumatologist at Arthritis and Rheumatology of Georgia to assess symptoms and rule out other conditions.
• Blood Tests:
  • Creatine Kinase (CK) Levels: Elevated CK levels indicate muscle damage.
  • Autoantibodies: Presence of specific autoantibodies that may suggest dermatomyositis.
• Electromyography (EMG): Measures electrical activity in muscles to detect abnormalities.
• Muscle Biopsy: A small sample of muscle tissue is taken to look for inflammation and other signs of dermatomyositis.
• Skin Biopsy: A small sample of skin tissue is taken to confirm the characteristic skin changes.
• Imaging Tests:
  • MRI: To detect muscle inflammation and damage.

Treatment Options for Dermatomyositis

• Medications:
  • Corticosteroids: High doses of corticosteroids are the primary treatment to reduce muscle and skin inflammation.
  • Immunosuppressive Drugs: Such as methotrexate, azathioprine, or mycophenolate mofetil to control the immune system.
  • Intravenous Immunoglobulin (IVIG): Therapy that uses antibodies from healthy donors to help regulate the immune system.
  • Antimalarial Drugs: Such as hydroxychloroquine to treat the skin rash.
• Therapies:
  • Physical Therapy: Exercises to improve muscle strength and flexibility.
  • Occupational Therapy: Techniques to perform daily activities safely and efficiently.
  • Speech Therapy: For patients experiencing difficulty swallowing.
• Lifestyle Changes:
  • Regular Exercise: Engaging in low-impact exercises such as swimming or walking to maintain muscle strength.
  • Healthy Diet: Eating a balanced diet rich in protein to support muscle health.
  • Sun Protection: Using sunscreen and protective clothing to protect the skin from sun exposure, which can worsen the rash.
  • Stress Management: Techniques such as mindfulness and relaxation exercises.

Living with Dermatomyositis

• Symptom Management: Using medications, therapies, and lifestyle changes to manage symptoms and reduce flare-ups.
• Regular Check-Ups: Keeping up with appointments to monitor disease progression and treatment efficacy.
• Support Systems: Seeking support from family, friends, or support groups to manage the emotional impact of living with a chronic disease.
• Education: Learning about the condition and staying informed about new treatments and management strategies.

Frequently Asked Questions | Dermatomyositis

What causes dermatomyositis?
The exact cause of dermatomyositis is unknown, but it is believed to involve an abnormal immune response where the body’s immune system attacks its own muscle and skin tissues.

Is dermatomyositis hereditary?
There is no clear evidence that dermatomyositis is hereditary, though genetic factors may contribute to susceptibility.

Can dermatomyositis be cured?
There is no cure for dermatomyositis, but its symptoms can be managed effectively with a combination of treatments.

How is dermatomyositis diagnosed?
Diagnosis involves a combination of medical history, physical examination, blood tests, electromyography (EMG), muscle biopsy, skin biopsy, and imaging tests.

What lifestyle changes can help manage dermatomyositis?
Regular exercise, a healthy diet, sun protection, stress management, and avoiding smoking can all help manage symptoms and improve overall health.

How can Arthritis and Rheumatology of Georgia help with dermatomyositis?
At Arthritis and Rheumatology of Georgia, we offer comprehensive care for dermatomyositis, including diagnostic tests, personalized treatment plans, and ongoing management to reduce inflammation and improve muscle and skin health.

Contact Arthritis and Rheumatology of Georgia

For comprehensive care for dermatomyositis, schedule an appointment with Arthritis and Rheumatology of Georgia. Call us at 404-255-5956 or use our online contact form. We proudly serve patients in the metro Atlanta area and beyond, providing expert care and personalized treatment plans.