ABSTRACT
The incidence of juvenile lupus varies widely ranging between 4 and 250 per 100,000 population. Most common organ involvement in juvenile lupus is kidney. Neurological, cutaneous and hematological involvements are also involved. Skeletal muscle involvement in the form of myositis is rare. Myositis as presenting manifestation in juvenile lupus is also unusual. Herein, we report one such case wherein myositis preceded the onset of lupus nephritis.
Subject(s)
Lupus Nephritis , Myositis , Adolescent , Female , Humans , Kidney/pathology , Lupus Nephritis/complications , Lupus Nephritis/diagnosis , Lupus Nephritis/pathology , Lupus Nephritis/physiopathology , Muscle, Skeletal/pathology , Muscle, Skeletal/physiopathology , Myositis/etiology , Myositis/physiopathologyABSTRACT
Upper limb gangrene is uncommon compared to lower limb gangrene. But digital gangrene is seen occasionally in patients on maintenance hemodialysis. Of the various causes described, atherosclerosis, diabetic vascular disease, following AV fistula surgery were few of the causes. Herein, we report a case of development of early digital gangrene following AV fistula in a patient on maintenance hemodialysis.