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http://dx.doi.org/10.1111/1346-8138.16587DOI Listing

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Juvenile dermatomyositis is a systemic autoimmune disease characterized by progressive proximal muscle weakness, pathognomonic rashes, and often the presence of myositis-specific antibodies. Consensus treatment plans for pediatric patients with juvenile dermatomyositis recommend steroids and methotrexate as initial therapy. Patients with anti-transcription intermediary factor 1 gamma (anti-TIF-1γ) antibodies tend to have more refractory disease requiring more aggressive treatment with intravenous immunoglobulin, which is typically well tolerated.

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Article Synopsis
  • The study examined clinical differences among various antibody phenotypes in 293 patients with dermatomyositis (DM) from 2018 to 2023.
  • Key findings revealed that patients with anti-MDA5 antibodies were more likely to experience respiratory issues and fever, while those with anti-TIF1-γ antibodies had higher rates of malignancy and certain skin symptoms.
  • Prognostic factors influencing survival included age at onset, presence of fever, eosinophil levels, and complement 3 levels, with specific impacts identified through statistical analysis.
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Article Synopsis
  • - The study aimed to analyze the frequency and relationship of two autoantibodies, anti-CCAR1 and anti-Sp4, in adult dermatomyositis (DM) patients and their link to cancer.
  • - Researchers studied data from 305 anti-TIF1γ-positive DM patients at Johns Hopkins and Stanford, discovering that about one-third were positive for each antibody, with 20% positive for both.
  • - Results indicated that those without anti-Sp4 or anti-CCAR1 had a stronger association with cancer, whereas patients positive for either antibody had a lower risk; nevertheless, half of the patients were negative for both and may need closer cancer monitoring.
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