Suhani Bhatnagar disease: The untimely demise of Suhani Bhatnagar, the talented young actor known for her role as young Babita Phogat in Aamir Khan's Dangal, has shed light on the rare and perplexing inflammatory disease, Dermatomyositis. Succumbing to the disease at the tender age of 19, Suhani's battle with Dermatomyositis has brought attention to the causes, symptoms, and treatment of this uncommon condition.
Causes of Dermatomyositis:
Dermatomyositis remains a medical mystery, with no exact known cause. Dr. Shweta Singhai, Senior Consultant - Rheumatology at Sakra World Hospital in Bengaluru, suggests potential triggers, including viral infections, autoimmune responses, bacterial infections, vaccinations, environmental factors like UV radiation and air pollutants. Notably, certain medications such as statins used for cholesterol reduction and an association with underlying malignancy in 30-40% of patients are also considered factors. Dr. Singhai emphasizes the rarity of the disease, affecting only 2-3 individuals per 100,000 in the population.
Symptoms and Manifestations:
Dermatomyositis manifests through muscle weakness and a distinctive purplish skin rash. The muscles most commonly affected include those in the shoulders, upper arms, hips, thighs, and neck. Patients may experience difficulties raising their arms above shoulder level or getting up from a seated position. Dr. Singhai further highlights additional symptoms, such as joint pain and swelling, inflammation of the heart and lung muscle tissues, and swelling in the blood vessels supplying the skin and muscles. In severe cases, the muscles involved in swallowing and respiration may be affected, leading to emergency situations requiring immediate medical attention.
Diagnostic Procedures and Screening:
To diagnose Dermatomyositis, Dr. Singhai recommends screening for muscle enzymes like CPK and autoimmune causes with tests such as ANA. Additionally, a PET scan may be required to rule out malignancy.
Treatment Approaches:
While there is no cure for Dermatomyositis, Dr. Shweta Singhai outlines a comprehensive approach to manage symptoms. Medications, including corticosteroids and immunosuppressive drugs like Methotrexate, Mycophenolate mofetil, Rituximab, and Intravenous immunoglobulin, form a crucial part of the treatment plan. Other supportive measures involve rest, avoiding sun exposure, and using sunscreens and photoprotective clothing.
Conclusion:
The passing of Suhani Bhatnagar brings attention to the importance of awareness, early diagnosis, and comprehensive treatment for Dermatomyositis. As we remember the young actor, let us also strive to understand and spread awareness about this rare inflammatory disease.
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