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    Panniculitis in Anti-MDA-5 Positive Juvenile Dermatomyositis: A Case Report
    (Nepal Medical Association, 2025) Ayduran, Semra; Kilbas, Gulsah; Tigrak, Saadet Nilay; Yuksel, Selcuk; Comut, Erdem; Turkucar, Serkan
    Panniculitis is a rare clinical finding in dermatomyositis. There are few reported cases in the medical literature. In this report, we describe a 17-year-old male patient with anti-MDA5 positive hypomyopathic dermatomyositis who, eight months after diagnosis, presented with indurated nodules on the right forearm and right thigh despite methotrexate and monthly intravenous immunoglobulin treatment. A skin biopsy revealed lobular panniculitis with lymphocytic infiltrate. His lesions were successfully controlled with hydroxychloroquine and azathioprine. This article presents a case regarding the rarity of panniculitis in juvenile dermatomyositis and its treatment strategy. © 2025, Nepal Medical Association. All rights reserved.