Chinese Journal of Dermatology ›› 2022, Vol. 55 ›› Issue (11): 1019-1020.doi: 10.35541/cjd.20220324

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Pseudoangioedema: a new type of skin lesions of dermatomyositis

Yang Ji, Xu Xinzhi, Li Ming   

  1. Department of Dermatology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
  • Received:2022-05-09 Revised:2022-05-31 Online:2022-11-15 Published:2022-11-03
  • Contact: Yang Ji E-mail:yang.ji@zs-hospital.sh.cn
  • Supported by:
    National Natural Science Foundation of China (82073436); Medical Guide Project from Science and Technology Commission of Shanghai Municipality (CN) (20ZR1411500, 19411962500); Special Clinical Research Project of Shanghai Municipal Health Commission (202140271); Outstanding Youth Medical Talents of Shanghai "Rising Stars of Medical Talent" Youth Development Program; Shanghai Talent Development Fund; Zhuoxue Plan of Fudan University

Abstract: 【Abstract】 Pseudoangioedema, a new type of skin lesions of dermatomyositis, is characterized by localized or diffused, non-pitting, non-pruritic edema on the face, lips, and limbs, with or without erythema. Most dermatomyositis patients with pseudoangioedema are positive for anti-transcriptional intermediary factor 1γ antibodies, and experience severe muscle injuries, increase of serum creatine kinase levels, and refractory dysphagia. A small number of dermatomyositis patients with pseudoangioedema are positive for anti-melanoma differentiation-associated gene 5 antibodies, and have lung involvement. Therefore, high attention should be paid to the occurrence of pseudoangioedema in patients with dermatomyositis, and the screening of specific antibodies can facilitate early diagnosis and differential treatment, as well as improvement in symptoms and survival rates.

Key words: Dermatomyositis, Pseudoangioedema, Transcriptional intermediary factor 1 gamma, Melanoma differentiation-associated gene 5