Diagnosis of Thyroid Neoplasm-Associated Dermatomyositis in Ethiopian Woman

Figures & data

Table 1 Laboratory Profile of Dermatomyositis in a Thyroid Cancer Patient at University of Gondar Hospital

Variables	Lab. Values on Admission	Reference
Complete blood count
White blood cells (x103/µL)	5.61	4.5–11.0
Hemoglobin (gm/dl)	10.9	12.0–15.0
Mean cell volume (fL)	78.0	80–100
Red blood cell width (%)	13.5%	≤14%
Platelets (x103/µL)	233	150–450
ESR (mm/hr)	17	≤20
Urinalysis
Protein	Negative
Glucose	Negative
Cast	Negative
Liver biochemical tests
ALT (IU/L)	52.97	≤40
AST (IU/L)	52.99	≤40
Bilirubin (total) (mg/dl)	0.71
Bilirubin (direct) (mg/dl)	0.12
Alkaline phosphatase (U/L)	178
Albumin (g/dl)	2.6
Total protein (g/dl)	5.6
Renal function tests
Serum Cr (mg/dl)	0.5
BUN (mg/dl)	16	≤20
Serum Na (mmol/L)	137	135–145
Serum K+ (mmol/L)	4.13	3.5–5.5
Serum creatine kinase	232	20–168
Thyroid function test
TSH (µU/mL)	0.152	0.35–4.94
Free T3 (pg/dl)	3.41	1.58–3.91
Free T4 (ng/dl)	0.83	0.7–1.8
Uric acid (mg/dl)	5.5	3.5–6.5
Fasting glucose (mg/dl)	98	70–100
Serum cholesterol (mg/dl)	99.7	<200
Serology
Anti-nuclear antibody	Negative
Rheumatoid factor	Negative
Anti-hepatitis c Ab	Negative
Hepatitis b surface ag	Negative
Anti--HIV antibody	Negative

Figure 1 Skin manifestation dermatomyositis in thyroid cancer patient at University of Gondar Hospital during admission. (A) skin manifestation on face (heliotrope rash), (B) Gutron’s papule, (C) skin manifestation on hand, (D) V-sign, (E) shawl’s sign, (F) holster sign.

Figure 2 Muscle biopsy of dermatomyositis in thyroid cancer patient at University of Gondar Hospital.

Figure 3 Skin manifestation of dermatomyositis in thyroid cancer patient at University of Gondar Hospital (ffter 2 months of treatment). (A) skin manifestation on face (heliotrope rash), (B) Gutron’s papule, (C) V-sign, (D) holster sign.