Novel gastrointestinal tract manifestations in juvenile dermatomyositis
Open accessAbstract
We report a case of juvenile dermatomyositis in which a dilated atonic esophagus was associated with delayed gastric emptying and intestinal mucosal thickening, resulting in a radiographic "stacked coin" appearance. These findings, which can also occur in infectious, neoplastic, or other immune-mediated diseases, broaden the spectrum of gastrointestinal tract manifestations in juvenile dermatomyositis. Physicians should be alert for these treatable manifestations in children with myositis who present with unexplained gastrointestinal symptoms, which are reversible with immunosuppressive therapy.
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Juvenile dermatomyositis has been associated with novel GI tract manifestations.
“Juvenile dermatomyositis has been associated with novel GI tract manifestations (Laskin et al., 1999), and reviews of adult myositis emphasize the spectrum of esophageal and intestinal complications (Ebert, 2010).”
From Autonomic nervous system and gastrointestinal manifestations with an emphasis on gastric dysfunction (2026) · cites this paper as Laskin et al., 1999
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Gastrointestinal motility disorders in neurologic disease
Camilleri, M. (2021) · Journal of Clinical Investigation · doi:10.1172/jci143771 · Cited by 211 · see citing works
Autonomic nervous system and gastrointestinal manifestations with an emphasis on gastric dysfunction
Shouman, K., Camilleri, M., & Singer, W. (2026) · Autonomic Neuroscience · doi:10.1016/j.autneu.2026.103474
- Authors
- Laskin, B. L., Choyke, P., Keenan, G. F., Miller, F. W., & Rider, L. G.
- Affiliations
- National Institutes of Health (US)
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 1999-09
- Volume
- 135
- Issue
- 3
- Pages
- 371-374
- ISSN
- 0022-3476 (ISSN-L)
- OpenAlex
- W2018884461
- Cited by
- 47
- References
- 0
- Citations by year
- 2026: 2 · 2024: 3 · 2022: 3 · 2021: 3 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 2 · 2014: 5 · 2013: 2
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The Journal of Pediatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Inflammatory Myopathies and Dermatomyositis
- Health Sciences › Medicine › Pathology and Forensic Medicine › Systemic Sclerosis and Related Diseases
- Health Sciences › Medicine › Neurology › Myasthenia Gravis and Thymoma
- Keywords
- juvenile dermatomyositis, gastrointestinal manifestations, esophageal dilation, delayed gastric emptying, myositis, immunosuppressive therapy
- MeSH terms
- Anti-Inflammatory Agents, Barium Sulfate, Child, Preschool, Contrast Media, Dermatomyositis, Diagnosis, Differential, Dilatation, Pathologic, Duodenum, Enema, Esophagus, Gastrointestinal Agents, Humans, Hypertrophy, Immunosuppressive Agents, Jejunum, Male, Radiography, Steroids
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