Gastrointestinal Vasculitis in Adult Patient With Dermatomyositis Presenting as Hematemesis

Susie Min; Debra W Yen; Gail L Bongiovanni

doi:10.14309/crj.0000000000001495

Gastrointestinal Vasculitis in Adult Patient With Dermatomyositis Presenting as Hematemesis

ACG Case Rep J. 2024 Sep 11;11(9):e01495. doi: 10.14309/crj.0000000000001495. eCollection 2024 Sep.

Authors

Susie Min¹, Debra W Yen², Gail L Bongiovanni²

Affiliations

¹ Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
² Division of Gastroenterology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH.

Abstract

Dermatomyositis (DM) is an inflammatory disease of the muscles and skin. Severe gastrointestinal (GI) involvement, characterized by GI bleeding and perforation secondary to underlying vasculopathy, is rarely seen. We describe a case of newly diagnosed DM in a 75-year-old woman who presented with a rash and muscle weakness. She then had sudden onset of hematemesis and was found to have duodenal ulcers due to leukocytoclastic vasculitis from her DM. Our aim was to highlight the need for recognition of GI involvement in adults with DM.

Keywords: GI bleed; dermatomyositis; leukocytoclastic vasculitis.

Publication types

Case Reports