June Case of the Month


Access case here. 

Authors: Tristan Lawson, BS, MS-III, Medical Student,University of South Carolina School of Medicine Greenville, Greenville, SC;  Jeffrey R. Wienke, MD Radiologist, Director of Musculoskeletal Imaging, Greenville Health System, Greenville, SC

Why did you select this case for submission?

I thought it would be great for Case in Point because of the uncommon pathology and the differential diagnosis. The case was a great learning opportunity to research more about a rare disease. The imaging findings provided interesting differential diagnoses such as parasitic infection and autoimmune disease.

What should readers learn from this case?

Hopefully this case provides readers with a useful synopsis of the clinical presentation of juvenile dermatomyositis, key imaging and pathological features, potential differential diagnoses, and treatment. One particular point that is important to emphasize is that juvenile dermatomyositis can be misdiagnosed as an allergic reaction due to periorbital edema and rash.

What did you learn from working on the case?

I learned a great deal working on this case. I wrote this case as a medical student. The process of reviewing the imaging really reinforced the limitations and advantages of different imaging modalities and MRI sequences. I also was unaware that JDM is thought to be a combination of genetic predispositions and environmental triggers. I enjoyed working on a radiologic case, and creating a CIP case piqued my interest in radiology as a specialty choice.

How did guidance from senior staff at your institution impact your learning and case development?

Dr. Jeff Wienke, the director for MSK imaging at Greenville Health System, provided me with exceptional guidance. I reviewed the imaging findings with him and talked through different aspects of the case. Drs. John Gilpin and Sylvester Lee were also helpful radiology mentors at Greenville Health System.

Why did you choose Case in Point for submission of your case?

I think CIP provides a great format for learning and sharing interesting cases. The layout of the cases combined with the questions reinforces key concepts. And the cases are fun to work through!

Are you a regular reader of Case in Point? What are your favorite types of cases?

I used Case in Point frequently as a medical student. My favorite cases were the ones that presented several different imaging modalities so I could see the pathology through different lenses. I also enjoy cases that discuss clinical presentation and treatment.

Is there anything else you’d like to share with readers about this case?

I wrote this case while I was third-year medical student. Case in Point was a great learning opportunity and furthered my interest in radiology. I am currently a preliminary medicine intern at Greenville Health System and will be starting my Diagnostic Radiology residency at Wake Forest Baptist Medical Center next year. I am excited to begin my formal radiology training and become a part of this fascinating profession.


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