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What are the best treatments for Dermatomyositis and Polymyositis?

See the best treatments for Dermatomyositis and Polymyositis here

Dermatomyositis and Polymyositis treatments

Treatments for Dermatomyositis and Polymyositis


Dermatomyositis and polymyositis are chronic autoimmune diseases that primarily affect the muscles and skin. These conditions can cause muscle weakness, skin rashes, and other systemic symptoms. While there is no cure for dermatomyositis and polymyositis, various treatment options are available to manage the symptoms, reduce inflammation, and improve quality of life.



1. Medications


Immunosuppressants: These drugs are commonly prescribed to suppress the immune system and reduce inflammation. Medications such as corticosteroids (e.g., prednisone) are often the first line of treatment. However, long-term use of corticosteroids may lead to significant side effects. Other immunosuppressants like methotrexate, azathioprine, and mycophenolate mofetil may be used as steroid-sparing agents.


Biologic agents: In cases where standard immunosuppressants are ineffective or poorly tolerated, biologic agents may be considered. Drugs like rituximab and tocilizumab target specific components of the immune system to reduce inflammation.


Antimalarials: Hydroxychloroquine is sometimes prescribed to manage skin symptoms associated with dermatomyositis.


Topical treatments: For skin rashes and lesions, topical corticosteroids or immunomodulators may be applied directly to the affected areas.



2. Physical Therapy


Exercise: Regular physical activity and tailored exercise programs are essential for maintaining muscle strength, flexibility, and overall function. Physical therapists can design exercise routines that target specific muscle groups and help manage muscle weakness.


Stretching: Stretching exercises can help improve flexibility and prevent muscle contractures, which are common in dermatomyositis and polymyositis.


Assistive devices: Depending on the severity of muscle weakness, assistive devices such as canes, walkers, or braces may be recommended to aid mobility and reduce the risk of falls.



3. Skin Care


Sun protection: Sun exposure can worsen skin symptoms in dermatomyositis. It is crucial to use sunscreen, wear protective clothing, and limit sun exposure to minimize skin damage.


Moisturizers: Dry skin is a common issue in dermatomyositis. Regular use of moisturizers can help alleviate dryness and prevent skin complications.


Topical treatments: As mentioned earlier, topical corticosteroids or immunomodulators may be prescribed to manage skin rashes and lesions.



4. Supportive Care


Pain management: Over-the-counter pain relievers or prescription medications may be used to alleviate muscle pain and discomfort.


Psychological support: Living with chronic conditions like dermatomyositis and polymyositis can be challenging. Seeking support from therapists, support groups, or counseling services can help individuals cope with the emotional and psychological aspects of these diseases.


Diet and nutrition: A balanced diet rich in nutrients can support overall health and well-being. It is important to consult with a healthcare professional or registered dietitian to ensure adequate nutrition and address any specific dietary concerns.



5. Monitoring and Follow-up


Regular check-ups: Ongoing monitoring of disease progression, medication effectiveness, and potential side effects is crucial. Routine visits to healthcare providers allow for adjustments in treatment plans as needed.


Laboratory tests: Blood tests, including muscle enzyme levels and autoantibody testing, can help assess disease activity and guide treatment decisions.


Imaging studies: Imaging techniques like MRI or ultrasound may be used to evaluate muscle inflammation and monitor disease progression.



It is important to note that treatment plans for dermatomyositis and polymyositis should be individualized based on the patient's specific needs and the severity of their condition. Close collaboration between the patient, rheumatologist, dermatologist, and other healthcare professionals is essential to optimize treatment outcomes and improve quality of life.


Diseasemaps
7 answers
immunosuppressants and the type and dose depends on the case it varies from Corticosteroids to Biologic medicine. sometimes both combined depends on the muscle biopsy result

Posted Oct 21, 2020 by Omneya Ashraf 1380
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The methotrexate and the principle prednisone

Posted Mar 21, 2017 by Natalia 1070
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To my me has worked the predisona and the methotrexate.

Posted Aug 14, 2017 by Anaid 825
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Each person responds differently, but in my case, the steroids is more effective. Vitamin D also helps with the riboflavin, to help energy, combat the infalamaçao and mhorar the system auto-immune.

Posted Sep 29, 2017 by Gislaine 1100
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The use of immunosuppressant and immunoglobulin

Posted Oct 7, 2017 by Daniela 400
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physical activity
good food
immunosuppressive
gama globulin

Posted Oct 12, 2017 by alejandra 400

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