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. Author manuscript; available in PMC: 2009 Apr 29.
Published in final edited form as: Medicine (Baltimore). 2008 Mar;87(2):70–86. doi: 10.1097/MD.0b013e31816bc604

TABLE 7.

Features Associated With the 3 Major LD Phenotypes in JDM

Generalized LD Partial LD Focal LA
JDM features
  associated with LD
Joint contractures, calcinosis,
  muscle atrophy, chronic
  continuous illness course,
  malar/facial erythema,
  erythroderma, p155
  autoantibody
Joint contractures, calcinosis,
  muscle atrophy, chronic
  continuous illness course,
  malar/facial erythema,
  erythroderma
Joint contractures, calcinosis,
  muscle atrophy, chronic
  continuous illness course,
  malar/facial erythema,
  panniculitis, dysphonia
Fat loss distribution Face, all extremities,
  abdomen/trunk, buccal fat
  loss, SQ fat loss on MRI
  of thighs with relative
  sparing of medial thigh,
  SQ fat loss and intraabdominal
  fat gain on abdominal MRI
Face, upper > lower extremities,
  buccal fat loss, SQ fat loss
  on MRI of thighs with relative
  sparing of medial thigh
Isolated area on extremity
  or buttock at site of
  calcinosis
LD clinical features Steatosis/NASH, ovarian
  enlargement, acanthosis
  nigricans, hypertrichosis,
  low leptin level
Hepatomegaly/steatosis/NASH,
  ovarian enlargement,
  fat redistribution
LD metabolic features Hypertriglyceridemia,
  insulin resistance >
  diabetes, elevated
  testosterone
Hypertriglyceridemia, insulin
  resistance > diabetes
Hypertriglyceridemia

Abbreviations: SQ = subcutaneous.