A hyper-ferritinemia syndrome evolving in recurrent macrophage activation syndrome, as an onset of amyopathic juvenile dermatomyositis: A challenging clinical case in light of the current diagnostic criteria

Dimitri Poddighe, Lorenzo Cavagna, Valeria Brazzelli, Paola Bruni, Gian Luigi Marseglia

Research output: Contribution to journalReview article

19 Citations (Scopus)


Juvenile dermatomyositis is an immune-mediated inflammatory multi-system disease involving mainly striated muscles and skin. Typical dermatological features are fundamental to establish the diagnosis, especially whenever the myopathy is very mild or absent, as it occurs in the form called as amyopathic juvenile dermatomyositis. Sometimes, systemic rheumatic diseases can develop a hyperferritinemia syndrome characterized by hemophagocytosis, namely macrophage activation syndrome, which represents a severe and life-threatening complication. Here, we describe a complex clinical history characterized by a hyper-ferritinemia syndrome after infectious mononucleosis, leading to recurrent episodes of macrophage activation syndrome. Finally, the late onset of several skin changes brought to a diagnosis of amyopathic juvenile dermatomyositis.

Original languageEnglish
Pages (from-to)1142-1148
Number of pages7
JournalAutoimmunity Reviews
Issue number11
Publication statusPublished - Jan 1 2014
Externally publishedYes



  • Epstein-Barr virus
  • Hyperferritinemia
  • Juvenile dermatomyositis
  • Macrophage activation syndrome

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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