Infliximab is effective in the treatment of ulcerative colitis with dermatomyositis: A case report

Figure 1 Periorbital and facial edema upon the patient’s diagnosis of dermatomyositis in 2016.

Figure 2 Pathology of left upper arm muscle. Transverse striations of muscle fibers can be seen. Atrophy and fibrosis were not observed. Local intermuscular vascular dilatation and infiltration with a small amount of lymphocytes were noted.

Figure 3 Plain magnetic resonance imaging scan of the middle and upper parts of the right thigh. A patchy higher signal can be seen in the fat-inhibited part of the T2-weighted images of multiple muscle tissues in buttocks and middle and upper thigh with unclear boundary and uneven signal.

Figure 4 Colonoscopic presentation of ulcerative colitis.

Figure 5 Intestinal mucosal biopsy at the time of diagnosis of ulcerative colitis.

Figure 6 Abdominal computed tomography at the time of diagnosis of ulcerative colitis.

Figure 7 Patient status after treatment with infliximab. The patient recovered her muscle strength in proximal extremities and could freely move without needing a wheelchair.

Figure 8 Computed tomography re-examination of the small intestines after the fourth infliximab treatment.

Figure 9 Colonoscopy re-examination after the fourth infliximab treatment.