Abstract
I read with interest the excellent article "Childhood Dermatomyositis and Polymyositis" (PIR 1984;6:163). Spiro stated: "Contrary to practices in older adults with dermatomyositis, evaluations for an underlying malignancy do not have to be performed in children with dermatomyositis or polymyositis; there is no relationship between these diseases and malignancies in children as there is in adults." Eckardt and colleagues reported (Cancer 1981;48:1256) a patient who had had a diagnosis of dermatomyositis at age 3 years, and who had intermuscular heterotopic calcification and ossification documented by a roentgenogram at age 8 years and by biopsy at age 16 years. At age 31 years, he developed a high-grade osteosarcoma in an area of heterotopic calcification and ossification which had been present since childhood.
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