Date of birth and patient code
|
Patient name
|
Postcode
|
Gender
|
Patient centre
|
Death
|
Ethnicity
|
Diagnosis date
|
Fatigue due to JDM
|
Family history
|
JDM rash
|
Distribution of rash
|
Onset date
|
Skin erythema
|
Abdominal pain due to JDM
|
Height/Weight
|
MRI consistent with JDM at diagnosis
|
Neurological involvement
|
Symmetrical muscle weakness
|
CMAS
|
Weight loss due to JDM
|
Gottron’s or heliotrope rash
|
Gottron’s sign
|
Alopecia due to JDM
|
Skin ulcers
|
Shawl sign
|
Nail-fold changes
|
Dysphagia or dysphonia
|
Gastro-intestinal disease / ulceration due to JDM
|
Dysphagia
|
Calcinosis
|
Fever due to JDM
|
Dysphonia
|
Cardiac involvement
|
Abnormal pulmonary function tests
|
Respiratory symptoms
|
Arthritis
|
Contractures
|
Myalgia
|
Interstitial lung disease
|
Lipodystrophy
|
Eye disease (glaucoma/cataract)
|
MMT8
|
Autoantibody data (more than ANA)
|
Raynaud’s
|
Muscle enzymes elevated
|
Physician global assessment
|
Parental Visual Analogue Scale (VAS)
|
EMG changes consistent with JDM at diagnosis
|
|
Pain VAS
|
Muscle biopsy consistent with JDM
|
|
CHAQ
|
Medication history
|
|
MITAX/MYOACT
|
|
|
Hospitalisation since last visit
|
|
|
School absence
|
|
|
Other significant diagnosis
|
|
|
Sporting activities
|
|
|
Pubertal delay |