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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1987-8-10
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pubmed:abstractText |
A 10-year-old girl from southern Alberta, Canada, who had close contact with cats, developed typical features of dermatomyositis. The diagnosis was confirmed by muscle biopsy. A toxoplasmosis titer was 1:16,384 by indirect fluorescent antibody technique, and the IgM response to toxoplasma was positive. Only minimal improvement followed prednisone and azathioprine administration, but she rapidly improved after 4 weeks of treatment for toxoplasmosis with pyrimethamine and sulfadiazine. A year after the onset of dermatomyositis, she showed no weakness or cutaneous lesions, and a repeat muscle biopsy no longer showed inflammation, perifascicular atrophy, or regeneration of myofibers. She remains asymptomatic more than 2 years after discontinuation of all medications. Investigation for immune deficiency disease 1 year after therapy revealed that lymphocytic response to T-cell and B-cell mitogens was normal, as were immunoglobulin and complement levels. She had mild impairment of natural killer cell activity and a positive antinuclear factor. Her rapid improvement on specific therapy and lack of significant long-term immune deficiency is consistent with acute toxoplasmosis infection in an immunologically competent child.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0883-0738
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
2
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
101-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3598137-Antibodies,
pubmed-meshheading:3598137-Biopsy,
pubmed-meshheading:3598137-Child,
pubmed-meshheading:3598137-Dermatomyositis,
pubmed-meshheading:3598137-Female,
pubmed-meshheading:3598137-Follow-Up Studies,
pubmed-meshheading:3598137-Humans,
pubmed-meshheading:3598137-Microscopy, Electron,
pubmed-meshheading:3598137-Muscles,
pubmed-meshheading:3598137-Toxoplasma,
pubmed-meshheading:3598137-Toxoplasmosis
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pubmed:year |
1987
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pubmed:articleTitle |
Juvenile dermatomyositis induced by toxoplasmosis.
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pubmed:publicationType |
Journal Article,
Case Reports
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