{"id":19,"date":"2026-10-15T13:57:56","date_gmt":"2026-10-15T13:57:56","guid":{"rendered":"http:\/\/pedirom.org.tr\/index.php\/cocuklarda-dermatomiyozit\/"},"modified":"2026-10-15T13:57:56","modified_gmt":"2026-10-15T13:57:56","slug":"cocuklarda-dermatomiyozit","status":"publish","type":"page","link":"https:\/\/pedirom.org.tr\/index.php\/cocuklarda-dermatomiyozit\/","title":{"rendered":"\u00c7ocuklarda Dermatomiyozit"},"content":{"rendered":"<figure class=\"pr-fig\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/pedirom.org.tr\/wp-content\/themes\/cocuk-romatoloji-rehberi\/assets\/img\/cocuklarda-dermatomiyozit.jpg\" alt=\"\u00c7ocuklarda Dermatomiyozit \u2013 temsil\u00ee ill\u00fcstrasyon\" width=\"1200\" height=\"750\"><figcaption>Temsil\u00ee ill\u00fcstrasyon<\/figcaption><\/figure>\n<p>J\u00fcvenil dermatomiyozit, kaslar\u0131 ve cildi etkileyen, k\u00fc\u00e7\u00fck damarlar\u0131n iltihab\u0131yla seyreden nadir bir otoimm\u00fcn hastal\u0131kt\u0131r. \u00c7ocukluk \u00e7a\u011f\u0131nda en s\u0131k g\u00f6r\u00fclen iltihabi kas hastal\u0131\u011f\u0131d\u0131r.<\/p>\n<h2>Kas bulgular\u0131<\/h2>\n<p>G\u00fc\u00e7s\u00fczl\u00fck \u00f6zellikle omuz ve kal\u00e7a \u00e7evresindeki b\u00fcy\u00fck kaslarda g\u00f6r\u00fcl\u00fcr. \u00c7ocuk merdiven \u00e7\u0131kmakta, yerden kalkmakta, sa\u00e7\u0131n\u0131 taramakta ya da kollar\u0131n\u0131 kald\u0131rmakta zorlanabilir; s\u0131k yorulma ve kas a\u011fr\u0131s\u0131 olabilir. K\u00fc\u00e7\u00fck \u00e7ocuklarda bu durum huysuzluk ya da daha \u00f6nce yapabildi\u011fi hareketleri yapmay\u0131 reddetme \u015feklinde fark edilebilir.<\/p>\n<h2>Cilt bulgular\u0131<\/h2>\n<p>\u00dcst g\u00f6z kapaklar\u0131nda mor-k\u0131rm\u0131z\u0131 renk de\u011fi\u015fikli\u011fi ve \u015fi\u015flik, parmak eklemlerinin \u00fczerinde k\u0131rm\u0131z\u0131 ve p\u00fcr\u00fczl\u00fc d\u00f6k\u00fcnt\u00fcler, y\u00fczde, boyunda ve dirsek ile dizlerde d\u00f6k\u00fcnt\u00fcler tipik bulgulard\u0131r. T\u0131rnak dibinde damar de\u011fi\u015fiklikleri g\u00f6r\u00fclebilir. Cilt bulgular\u0131 bazen kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fcnden \u00f6nce ortaya \u00e7\u0131kar.<\/p>\n<h2>Tan\u0131<\/h2>\n<p>Tan\u0131; muayene bulgular\u0131, kaslardan sal\u0131nan enzimlerin kan d\u00fczeyleri, kas g\u00f6r\u00fcnt\u00fclemesi ve gerekti\u011finde kas biyopsisiyle konur. Baz\u0131 \u00f6zel antikor testleri hastal\u0131\u011f\u0131n seyri hakk\u0131nda bilgi verebilir.<\/p>\n<h2>Tedavi ve komplikasyonlar<\/h2>\n<p>Tedavi genellikle kortizon ve hastal\u0131\u011f\u0131 de\u011fi\u015ftiren ila\u00e7larla ba\u015flar; gerekti\u011finde ba\u015fka tedaviler eklenir. Erken ve yeterli tedavi, cilt ve kaslarda kalsiyum birikmesi gibi komplikasyonlar\u0131n riskini azalt\u0131r. Fizik tedavi kas g\u00fcc\u00fcn\u00fcn geri kazan\u0131lmas\u0131nda \u00f6nemlidir ve g\u00fcne\u015ften korunma \u00f6nerilir.<\/p>\n<h2>Acil belirtiler<\/h2>\n<p>Yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, ses de\u011fi\u015fikli\u011fi, nefes darl\u0131\u011f\u0131 ve h\u0131zla artan g\u00fc\u00e7s\u00fczl\u00fck acil de\u011ferlendirme gerektirir. Kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc ile kar\u0131\u015fabilen eklem \u015fik\u00e2yetleri i\u00e7in <a href=\"http:\/\/pedirom.org.tr\/index.php\/cocuklarda-eklem-agrisi\/\">eklem a\u011fr\u0131s\u0131<\/a>, cildi etkileyen ba\u015fka bir hastal\u0131k i\u00e7in <a href=\"http:\/\/pedirom.org.tr\/index.php\/cocuklarda-skleroderma\/\">skleroderma<\/a> sayfalar\u0131m\u0131za bakabilirsiniz.<\/p>\n<p class=\"kaynak\"><small>Genel bilgi kaynaklar\u0131: SHARE j\u00fcvenil dermatomiyozit \u00f6nerileri (2017); Avrupa Pediatrik Romatoloji Derne\u011fi (PRES) ve SHARE giri\u015fimi \u00f6nerileri. Kontrol tarihi: Ekim 2026. Bu sayfa hekim incelemesinden ge\u00e7mi\u015f bir t\u0131bbi metin de\u011fildir; tan\u0131 ve tedavi i\u00e7in \u00e7ocu\u011funuzun hekimine ba\u015fvurun. Acil durumda 112\u2019yi aray\u0131n.<\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>J\u00fcvenil dermatomiyozit: kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc, g\u00f6z kapaklar\u0131nda ve parmak eklemlerinde d\u00f6k\u00fcnt\u00fc, tan\u0131 y\u00f6ntemleri, tedavi, kalsinozis ve acil belirtiler.<\/p>\n","protected":false},"author":0,"featured_media":0,"parent":0,"menu_order":12,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-19","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages\/19","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"replies":[{"embeddable":true,"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/comments?post=19"}],"version-history":[{"count":2,"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages\/19\/revisions"}],"predecessor-version":[{"id":67,"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages\/19\/revisions\/67"}],"wp:attachment":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/media?parent=19"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}