<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412021000700009</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i7.4894</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dermatomiositis como síndrome paraneoplásico en el contexto de un cáncer de ovario bilateral: reporte de un caso y revisión bibliográfica]]></article-title>
<article-title xml:lang="en"><![CDATA[Paraneoplastic dermatomyositis in the context of bilateral ovarian cancer: A case report and a literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Azcona-Sutil]]></surname>
<given-names><![CDATA[Leticia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabezas-Palacios]]></surname>
<given-names><![CDATA[María Nieves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Domingo]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barros-Tornay]]></surname>
<given-names><![CDATA[Rubén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Polo]]></surname>
<given-names><![CDATA[Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Gallardo]]></surname>
<given-names><![CDATA[Julián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Jiménez]]></surname>
<given-names><![CDATA[Inmaculada]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Virgen Macarena Unidad de gestión clínica de Obstetricia y Ginecología ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Virgen Macarena Servicio de Anatomía Patológica ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Virgen Macarena Unidad de gestión clínica de Dermatología ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>7</numero>
<fpage>561</fpage>
<lpage>566</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000700009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000700009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000700009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La dermatomiositis, como síndrome paraneoplásico, puede asociarse con cáncer de ovario de 9 a 21.4% de las ocasiones. Debido a la afectación muscular que implica, supone un gran ensombrecimiento en la morbilidad de estas pacientes. Para identificar el tumor primario hay que tener un alto nivel de sospecha diagnóstica, lo que supone hacer pruebas complementarias aún no claramente establecidas.  CASO CLÍNICO:  Paciente de 62 años, sin alergias conocidas, que consultó debido a la aparición de una erupción pruriginosa de 20 días de evolución en la región facial, el cuello, el escote y la cara externa de miembros acompañada de mialgias y cierta astenia. En la exploración se comprobó el exantema maculopapular eritematoso en las regiones corporales principalmente fotoexpuestas y pápulas en la región dorsal de las articulaciones metacarpofalángicas. El estudio anatomopatológico definitivo reportó: carcinoma seroso de alto grado, con patrón sólido multinodular en el ovario izquierdo y carcinoma seroso de alto grado con patrón sólido-papilar multinodular en el ovario derecho; ambos anejos con infiltración paratubárica.  CONCLUSIONES:  Establecer un correcto y rápido diagnóstico de la dermatomiositis es fundamental debido a su fuerte asociación con neoplasias ocultas; esto hace que ante una paciente con datos de dermatomiositis sea decisivo confirmar el diagnóstico y llevar a cabo un exhaustivo estudio de extensión, sobre todo en pacientes de alto riesgo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Dermatomyositis, as a paraneoplastic syndrome, can be associated with ovarian cancer 9 to 21.4% of the time. Due to the muscle involvement involved, it is a major overshadowing in the morbidity of these patients. To identify the primary tumor, it is necessary to have a high level of diagnostic suspicion, which means performing complementary tests not yet clearly established.  CLINICAL CASE:  A 62-year-old patient, with no known allergies, consulted due to the appearance of a pruritic rash of 20 days of evolution in the facial region, neck, neckline and external face of the limbs accompanied by myalgia and some asthenia. Examination revealed erythematous maculopapular exanthema in the mainly photoexposed body regions and papules in the dorsal region of the metacarpophalangeal joints. The definitive anatomopathologic study reported: high-grade serous carcinoma with multinodular solid pattern in the left ovary and high-grade serous carcinoma with multinodular solid-papillary pattern in the right ovary; both adnexae with paratubal infiltration.  CONCLUSIONS:  Establishing a correct and rapid diagnosis of dermatomyositis is fundamental due to its strong association with occult neoplasms; this makes it decisive to confirm the diagnosis and carry out an exhaustive extension study, especially in high-risk patients, when faced with a patient with data of dermatomyositis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dermatomiositis]]></kwd>
<kwd lng="es"><![CDATA[síndrome paraneoplásico]]></kwd>
<kwd lng="es"><![CDATA[cáncer de ovario]]></kwd>
<kwd lng="es"><![CDATA[alergias]]></kwd>
<kwd lng="es"><![CDATA[eritema]]></kwd>
<kwd lng="es"><![CDATA[mialgia]]></kwd>
<kwd lng="es"><![CDATA[exantema maculopapular]]></kwd>
<kwd lng="en"><![CDATA[Dermatomyositis]]></kwd>
<kwd lng="en"><![CDATA[Paraneoplastic syndrome]]></kwd>
<kwd lng="en"><![CDATA[Ovarian cancer]]></kwd>
<kwd lng="en"><![CDATA[Allergies]]></kwd>
<kwd lng="en"><![CDATA[Rash]]></kwd>
<kwd lng="en"><![CDATA[Myalgia]]></kwd>
<kwd lng="en"><![CDATA[Maculopapular exanthema]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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