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

doi:10.1007/s10067-019-04576-4

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

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

2 Scopus citations

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 language	English
Pages (from-to)	1925-1929
Number of pages	5
Journal	Clinical Rheumatology
Volume	38
Issue number	7
DOIs	https://doi.org/10.1007/s10067-019-04576-4
State	Published - 1 Jul 2019

Keywords

Calcinosis
JDM
JPM
Juvenile dermatomyositis
Necrosis
Polymyositis
Stenosis
Ureter
Vasculopathy

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

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.",

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AU - Neheman, Amos

AU - Uziel, Yosef

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KW - Necrosis

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

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