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Previous Volume 333:1083 October 19, 1995 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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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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