{
    "abstract": "Juvenile dermatomyositis (JDM) is a rare systemic autoimmune vasculopathy primarily affecting children. It is characterized by muscular weakness and distinctive skin findings. This report describes the case of a two-year-old Yemeni girl from a resource-limited setting who presented with prolonged fever and later developed classic JDM symptoms, including malar rash, skin nodules, calcifications, and lower limb muscle weakness. Despite the unavailability of advanced diagnostic tools, the diagnosis was made based on clinical findings, elevated inflammatory markers, and muscle enzyme levels. Management included oral prednisolone, resulting in significant clinical improvement. This case highlights the challenges of diagnosing and managing atypical JDM presentations in resource-constrained areas while emphasizing the importance of clinical vigilance and multidisciplinary care. It also underscores the need for increasing awareness and better diagnostic access in low-resource settings. To our knowledge, this is the first reported case of JDM\u00a0in\u00a0Yemen.",
    "authors": [
        {
            "affiliation": "Medicine and Surgery, Faculty of Medicine and Health Sciences, Seiyun University, Seiyun, YEM.",
            "firstname": "Bin-Sahel",
            "initials": "BS",
            "lastname": "Omer"
        },
        {
            "affiliation": "Community Health Nursing, Faculty of Nursing, University of Khartoum, Khartoum, SDN.",
            "firstname": "Naif",
            "initials": "N",
            "lastname": "Abduljabbar"
        },
        {
            "affiliation": "Preventive Medicine, Primary Health Care, Ministry of National Guards - Health Affairs, Jeddah, SAU.\nPreventive Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.\nPreventive Medicine, King Saud Bin Abdul-Aziz University for Health Sciences, Jeddah, SAU.",
            "firstname": "Mohammed S",
            "initials": "MS",
            "lastname": "Kutbi"
        },
        {
            "affiliation": "Medicine and Surgery, Om Al-Qura Medical Centre, Seiyun, YEM.",
            "firstname": "Ahmed S",
            "initials": "AS",
            "lastname": "Bani"
        },
        {
            "affiliation": "Epidemiology, Graduate College, University of Bahri, Khartoum, SDN.\nFaculty of Medicine, Cairo University, Cairo, EGY.",
            "firstname": "Mohammed A",
            "initials": "MA",
            "lastname": "Saghir"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2025, Omer et al.",
    "doi": "10.7759/cureus.80376",
    "journal": "Cureus",
    "keywords": [
        "children disease",
        "diagnostic delay",
        "high fever",
        "juvenil dermatomyositis",
        "yemen"
    ],
    "methods": null,
    "publication_date": "2025-04-11",
    "pubmed_id": "40213710\n12794783\n24182859\n15158745\n24164844\n16769656\n23263716\n25160931\n25053380\n27007612\n21345298\n24985888\n10084045\n22736096\n28174638\n38773611\n24706700\n1090839\n16467366\n38371564\n39356187",
    "results": null,
    "title": "Juvenile Dermatomyositis in a Two-Year-Old Yemeni Girl in a Resource-Limited Setting: A Case Report.",
    "xml": "<Element 'PubmedArticle' at 0x7885049db8d0>"
}