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Ira S. Schwartz, MD
Mount Sinai Medical Center New York

JAMA. 1978;240(18):1953-1954.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The report by Pittsley et al (239:959, 1978) of a patient with acute hepatitis B having manifestations of dermatomyositis bears a similarity to a rapidly fatal case of hepatitis I recently studied.

Report of a Case.—

A 37-year-old woman complained of a sore throat, muscle weakness, arthralgia, and fever two weeks before hospitalization. On admission to the Mount Sinai Medical Center, her temperature was 40 °C; she appeared acutely ill, with generalized muscle tenderness and weakness of proximal muscle groups. No sensory deficit or rash was recorded. There had been no known exposure to toxins. The liver edge was palpated three fingers' breadth below the right costal margin. Notable laboratory test results included the following values: leukocytosis (27,000/cu mm) with a shift to the left; alkaline phosphatase, 271 mm/ml (normal, 30 to 90 mm/ml); SGOT, 258 units; SGPT, 132 units (normal, up to 50 units); hepatitis B . . . [Full Text PDF of this Article]

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