Polymyositis and dermatomyositis secondary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

Effective measures for the secondary prevention of [disease name] include [strategy 1], [strategy 2], and [strategy 3].

Secondary Prevention

• Effective measures for the secondary prevention of polymyositis and dermatomyositis include:

Malignancy screening

• Effective measures for assessing malignancy in patients with polymyositis and dermatomyositis include:
  • Initially and annually diagnostic studies for three years including:
    • Chest CT scan
    • Abdomen CT scan
    • Pelvic CT scan
    • Gynecologic examination and pelvic/transvaginal ultrasonogram
    • It is controversial to use tumor markers as a screening test for malignancy.

Lifestyle modification

• Lifestyle modification is important in the treatment of polymyositis and dermatomyositis. Some of the important precautions are as follows:
  •  Physical therapy and exercise
  • Healthy and well-balanced diet
  • Watching weight
  • Sun exposure protection including
    • Limiting time outdoors
    • Using sunscreen

Prevention of medication induced complications

• Screening for osteopenia and osteoporosis