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Clinical Rheumatology

Erschienen in:

17.05.2019 | Case Based Review

Juvenile polymyositis associated with ureteral necrosis: a diagnostic and therapeutic dilemma—case report and review of the literature

verfasst von: Ruby Haviv, Tania Zehavi, Avishalom Pomeranz, Ilan Leibovitch, Amos Neheman, Yosef Uziel

Erschienen in: Clinical Rheumatology | Ausgabe 7/2019

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Abstract

We describe an 11-year-old girl, diagnosed with juvenile polymyositis (JPM), who developed right ureteral obstruction secondary to necrosis. We emphasize the dilemmas regarding optimal timing for surgical intervention and medical treatment. Vascular involvement, which could be a part of juvenile dermatomyositis, may also be a feature of JPM. We discuss the association between vasculopathy and ureteral necrosis and review the literature regarding similar conditions. Whether the ureteral necrosis is a specific feature of vasculopathy, or a result of visceral calcinosis, needs to be further explored.

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Titel: Juvenile polymyositis associated with ureteral necrosis: a diagnostic and therapeutic dilemma—case report and review of the literature
verfasst von: Ruby Haviv
Tania Zehavi
Avishalom Pomeranz
Ilan Leibovitch
Amos Neheman
Yosef Uziel
Publikationsdatum: 17.05.2019
Verlag: Springer London
Erschienen in: Clinical Rheumatology / Ausgabe 7/2019
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI: https://doi.org/10.1007/s10067-019-04576-4

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Juvenile polymyositis associated with ureteral necrosis: a diagnostic and therapeutic dilemma—case report and review of the literature

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