| A case of juvenile dermatomyositis with esophago-pleural fistula caused by spontaneous lower esophageal perforation |
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Hyun Sik Kang, Hyun Joo Oh, Kyung-Sue Shin |
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Department of Pediatrics, Jeju National University School of Medicine, Jeju Korea |
Correspondence:
Kyung-Sue Shin, Email: kyungsue@jejunu.Bc.kr
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| Abstract |
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Juvenile dermatomyositis (JDM) is a chronic multisystem disease characterized by nonsuppurative inflammation of striated muscle and skin. Gastrointestinal perforation including esophagus is a well-recognized complication of JDM. Corticosteroid therapy in JMD may be the cause of the ulceration and perforation of the gastrointestinal tract regardless of the diseasecourse. We describe a rare case of a one year and nine months old girl with juvenile dermatomyositis (JDM) who developed spontaneous lower esophageal perforation with esophago-pleural fistula. Although the duration of the fistula closing was long, the fistula spontaneously obliterated without other surgical management. This is a rare case of JDM with esophago-pleural，fistula caused by spontaneous lower esophageal perforation |
| Key Words:
Juvenile dermatomyositis; esophageal perforation; esophago-pleural fislula |
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