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Required Surgical Therapy in the Pediatric Patient With Dermatomyositis
Earl C. Downey, Jr, MD;
Morton M. Woolley, MD;
Virgil Hanson, MD
Arch Surg. 1988;123(9):1117-1120.
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)
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.
Footnotes
Accepted for publication May 16, 1988.
Read before the 59th Annual Meeting of the Pacific Coast Surgical Association, San Francisco, Feb 23, 1988.
Reprint requests to the Department of Surgery, Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027 (Dr Woolley).
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