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Multispecialty approach for improving outcomes in juvenile dermatomyositis

Authors Wakiguchi H

Received 2 March 2019

Accepted for publication 11 April 2019

Published 29 May 2019 Volume 2019:12 Pages 387—394

DOI https://doi.org/10.2147/JMDH.S171095

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Hiroyuki Wakiguchi

Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan

Abstract: Juvenile dermatomyositis (JDM) is a pediatric rheumatic disease characterized by inflammation of the muscle and skin. Prognosis of JDM in children has improved in general owing to medical progress; however, pathogenesis and management of JDM in children and prognosis in refractory JDM remain challenging. For elucidation of JDM pathophysiology and establishment of appropriate treatment for JDM, pediatric rheumatologists need to adopt a multispecialty approach that involves experts in genetics, immunology, pathology, musculoskeletal medicine, dermatology, pulmonology, cardiology, hematology, gastroenterology, endocrinology, ophthalmology, psychology, radiology, pharmacology, physiotherapy, surgery, preventive medicine, and adult rheumatology. Such collaborations will potentially lead to improved outcomes in children with JDM.

Keywords: liposteroid, pathophysiology, physiotherapy, preventive medicine, psychology


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