Abstract
To the Editor: We appreciate Nagashima, et al 1 for the comments on our recent paper about a distinctive cutaneous feature in a subset of patients with classic dermatomyositis (DM) and clinically amyopathic DM2. In our study, we found that patients with DM/clinically amyopathic dermatomyositis (CADM) who have ulcerative Gottron papules/Gottron sign with positive anti-MDA5 antibody and significantly lower baseline creatine kinase level are at increased risk of interstitial lung disease, especially acute/subacute interstitial pneumonia. Nagashima, et al reported the survival of … Address correspondence to Dr. J. Zheng, Department of Dermatology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, No. 197 Ruijin Er Road, Shanghai 200025, China. E-mail: jie-zheng2001{at}126.com
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