Juvenile polymyositis associated with ureteral necrosis: a diagnostic and therapeutic dilemma—case report and review of the literature

Ruby Haviv, Tania Zehavi, Avishalom Pomeranz, Ilan Leibovitch, Amos Neheman, Yosef Uziel

Research output: Contribution to journalReview articlepeer-review

Abstract

We describe an 11-year-old girl, diagnosed with juvenile polymyositis (JPM), who developed right ureteral obstruction secondary to necrosis. We emphasize the dilemmas regarding optimal timing for surgical intervention and medical treatment. Vascular involvement, which could be a part of juvenile dermatomyositis, may also be a feature of JPM. We discuss the association between vasculopathy and ureteral necrosis and review the literature regarding similar conditions. Whether the ureteral necrosis is a specific feature of vasculopathy, or a result of visceral calcinosis, needs to be further explored.

Original languageEnglish
Pages (from-to)1925-1929
Number of pages5
JournalClinical Rheumatology
Volume38
Issue number7
DOIs
StatePublished - 1 Jul 2019

Keywords

  • Calcinosis
  • JDM
  • JPM
  • Juvenile dermatomyositis
  • Necrosis
  • Polymyositis
  • Stenosis
  • Ureter
  • Vasculopathy

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