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Childhood Polymyositis With Cardiac Conduction Defects FREE

Bernhard Singsen, MD; Bruce Goldreyer, MD; Robert Stanton, MD; Virgil Hanson, MD
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Received for publication May 10, 1974; accepted Jan 10, 1975.

Reprint requests to 4650 Sunset Blvd, Los Angeles, CA 90027 (Dr Singsen).


Am J Dis Child. 1976;130(1):72-74. doi:10.1001/archpedi.1976.02120020074014.
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• Pediatric polymyositis may be an entity distinct from dermatomyositis. Chronic polymyositis can occur in childhood and, as in adults, may be associated with arrhythmias. Microscopical involvement of the myocardium and pericardium in dermatomyositis is probably far more common than suspected on clinical grounds. Cardiac evaluation is suggested for all children with dermatomyositis or polymyositis, particularly prior to surgical procedures. Intracardiac electrographic recording techniques offer improved accuracy in determining the site of cardiac conduction defects, and may aid in planning for the use of antiarrhythmia medications or a pacemaker. In children with dermatomyositis or polymyositis known cardiac stimulants should be administered with care.

(Am J Dis Child130:72-74,1976)

REFERENCES

Pearson CM:  Polymyositis and related disorders , in Walton JN (ed): Disorders of Voluntary Muscle . Boston, Little Brown & Co, 1964;, pp 501-539.
Garcin R, Lapresle J, Gruner J, et al:  Les polymyositis . Rev Neurol 92:465-510, 1955;.
Hill DL, Barrows HS:  Identical skeletal and cardiac muscle involvement in a case of fatal polymyositis . Arch Neurol 19:545-551, 1968;.
Schaumberg HH, Nielsen SL, Yurchak PM:  Heart block in polymyositis . N Engl J Med 284:480-481, 1971;.
Lynch PG:  Cardiac involvement in chronic polymyositis . Br Heart J 33:416-419, 1971;.
Banker BQ, Victor M:  Dermatomyositis (systemic angiopathy) of childhood . Medicine 45:261-289, 1966;.
Bradley JE, Drake ME, Mack HP:  Derma tomyositis with nephritis in a Negro girl . Am J Dis Child 81:403-407, 1951;.
Walton JN, Adams RD: Polymyositis . Baltimore, Williams & Wilkins Co, 1958;.
Wedgwood RJP, Cook CD, Cohen J:  Dermatomyositis: Report of 26 cases in children with a discussion of endocrine therapy in 13 . Pediatrics 12:447-466, 1953;.
Logan RG, Bandera JR, Mikkelsen WM, et al:  Polymyositis: A clinical study . Ann Intern Med 65:996-1007, 1966;.
Thompson CE:  Polymyositis in children . Clin Pediatr 7:24-28, 1968;.
Hanson V: Muscle diseases of childhood. Read before the Second Western Regional Conference on Rheumatic Diseases, sponsored by The Arthritis Foundation. Indian Wells, Calif, 1973.
Scherlag BJ, Lau SH, Helfant RH, et al:  Catheter technique for recording His bundle activity in man . Circulation 39:13-18, 1969;.
Abella JB, Teixeria OHP, Misra KP, et al:  Changes of atrioventricular conduction with age in infants and children . Am J Cardiol 30:876-883, 1972;.
Wit AL, Weiss MB, Berkowitz WD, et al:  Patterns of atrioventricular conduction in the human heart . Circ Res 27:345-354, 1970;.
Everett MA, Curtis AC:  Dermatomyositis: A review of 19 cases in adolescents and children . Arch Intern Med 100:70-76, 1957;.
Barnard BG, Rankin AM, Robertson JH:  Polymyositis: Report of three cases from West Africa . Br Med J 1:1473-1476, 1960;.

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References

Pearson CM:  Polymyositis and related disorders , in Walton JN (ed): Disorders of Voluntary Muscle . Boston, Little Brown & Co, 1964;, pp 501-539.
Garcin R, Lapresle J, Gruner J, et al:  Les polymyositis . Rev Neurol 92:465-510, 1955;.
Hill DL, Barrows HS:  Identical skeletal and cardiac muscle involvement in a case of fatal polymyositis . Arch Neurol 19:545-551, 1968;.
Schaumberg HH, Nielsen SL, Yurchak PM:  Heart block in polymyositis . N Engl J Med 284:480-481, 1971;.
Lynch PG:  Cardiac involvement in chronic polymyositis . Br Heart J 33:416-419, 1971;.
Banker BQ, Victor M:  Dermatomyositis (systemic angiopathy) of childhood . Medicine 45:261-289, 1966;.
Bradley JE, Drake ME, Mack HP:  Derma tomyositis with nephritis in a Negro girl . Am J Dis Child 81:403-407, 1951;.
Walton JN, Adams RD: Polymyositis . Baltimore, Williams & Wilkins Co, 1958;.
Wedgwood RJP, Cook CD, Cohen J:  Dermatomyositis: Report of 26 cases in children with a discussion of endocrine therapy in 13 . Pediatrics 12:447-466, 1953;.
Logan RG, Bandera JR, Mikkelsen WM, et al:  Polymyositis: A clinical study . Ann Intern Med 65:996-1007, 1966;.
Thompson CE:  Polymyositis in children . Clin Pediatr 7:24-28, 1968;.
Hanson V: Muscle diseases of childhood. Read before the Second Western Regional Conference on Rheumatic Diseases, sponsored by The Arthritis Foundation. Indian Wells, Calif, 1973.
Scherlag BJ, Lau SH, Helfant RH, et al:  Catheter technique for recording His bundle activity in man . Circulation 39:13-18, 1969;.
Abella JB, Teixeria OHP, Misra KP, et al:  Changes of atrioventricular conduction with age in infants and children . Am J Cardiol 30:876-883, 1972;.
Wit AL, Weiss MB, Berkowitz WD, et al:  Patterns of atrioventricular conduction in the human heart . Circ Res 27:345-354, 1970;.
Everett MA, Curtis AC:  Dermatomyositis: A review of 19 cases in adolescents and children . Arch Intern Med 100:70-76, 1957;.
Barnard BG, Rankin AM, Robertson JH:  Polymyositis: Report of three cases from West Africa . Br Med J 1:1473-1476, 1960;.

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