Satoyoshi syndrome Q87.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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History
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Satoyoshi and Yamada, 1967

Definition
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Rare disease of unknown etiology with progressive, intermittent, painful muscle spasms, amenorrhea, skeletal abnormalities, possibly with multiple fractures, malabsorption and (generalized) alopecia.

Occurrence/Epidemiology
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Sporadically occurring; most cases have been described in Japan.

Manifestation
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Occurs in early childhood and is preferred in the female sex.

Clinical features
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  • Dermatologically relevant is diffuse alopecia, which can affect the capillitium but also the whole body. Complete healings are described.
  • In the foreground of the clinical picture are severe, progressive and painful muscle spasms, which generally manifest themselves in early childhood.
  • The clinical picture is further characterized by severe malabsorption with (secondary?) skeletal deformities that lead to disturbances in size growth as well as endocrinological disorders.

Differential diagnosis
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Dermatomyositis; other collagenoses (the Satoyopshi syndrome is serologically negative! No auto-AK)

Therapy
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By pediatrician. Muscle cramps seem to improve under medium-high doses of glucocorticoids (prednisolone 60 mg/m2 KO). Therapy of muscle cramps with amytriptiline (25 mg/day).

Literature
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  1. Cecchin CR et al (2003) Satoyoshi syndrome in a caucasian girl improved with glucocorticoids-A clinical report. At J Med Genet 118A: 52-54
  2. Haymon M et al (1997) Radiological and orthopedic abnormalities in Satoyoshi syndrome. Pediatric radiol 27: 415-418
  3. Matsumura T et al (2002) A case of Satoyoshi syndrome complicating marginal gingivitis of the mandible and dislocation of the temporomandibular joint. Rinsho Shinkeigaku 42: 889-891
  4. Oyama M et al (1999) Satoyoshi syndrome. Arch Dermatol 135: 91-92
  5. Satoyoshi E, Yamada K (1967) Recurrent muscle spasms of central origin: a report of two cases. Arch Neurol 16: 254-264
  6. Wisuthsarewong W et al (2001) Satoyoshi syndrome. Pediatric Dermatol 18: 406-410

Incoming links (1)

Juvenile dermatomyositis;

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Last updated on: 29.10.2020