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A correction has been published: N Engl J Med 1996;334(2):130.

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Volume 333:1083 October 19, 1995 Number 16
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Childhood Dermatomyositis Associated with Hepatocarcinoma

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To the Editor: Unlike dermatomyositis in adults, dermatomyositis in children is rarely associated with cancer. We describe a case of juvenile dermatomyositis associated with hepatocarcinoma.

A 14-year-old boy with a weight loss of 15 kg over a three-month period presented with clinical signs of dermatomyositis, including typical edematous rash, muscular weakness, and pharyngeal involvement. A considerable increase in muscle-enzyme concentrations was noted, and an immunodiffusion assay and Western blotting were positive for antinuclear antibodies of unknown specificity at a titer of 1:4000. The physical examination unexpectedly revealed hepatomegaly, and a computed tomographic (CT) scan showed a multinodular hepatic tumor with . . . [Full Text of this Article]

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