Dear Alyn,I can imagine your terror as you are going through this. i will try to help a little.
Has Steph been diagnosed with JDM?
Where do you live? Is there a good teaching hospital nearby?
Have you consulted a Pediatric Rheumatologist?
Steph's numbers do seem very high, but that is probably because she has gone for so long without a dignosis and treatment. It is extremely important to be with a doctor who is familiar with this disease. Many will not recognize the symptoms or know which markers to test for in a blood test. It is essential to be with a rheumatologist and i believe a pediatric rheumatologist at that. Dhildren experience this disease differently than adults.
When m son was admitted to the hospital n MRI was performed to confirm the diagnosis and to determine the extent of the damage. It is a painless procedure and replaces painful muscle biopsies, etc.
Different physicians treat this disease in somewhat different ways. Statistically, the most effective treatment seems to be what is called an aggressive treatment.
For example: 2 or 3 days on IV in the hospital for a combination of prednisone and gamma globuline (and perhaps methotrexate?.)
After the Hospital, oral prednisone, 6 days folic acid and 1 day methotrexate.
Monthly Gamma Globulin IVIG. Because Gamma Globuline is so expensive, many physicians do not use it. However, if you have health insurance coverage, this is no longer considered experimental with this disease and many plans do cover it. The doctor has to call the insurance carrier.
There is a reat deal of information on the internet about the disease, but before I go further in recommending any, it would be helpful to hear from you with more details and answers to the questions I have asked.
Ralph Becker, who mnanages this board, has written a beautifl and informative diary of his daughter's journey through dermatomyositis called, "Julia's Diary". You can download it.
Another site for you to look at is the Myositis Association of America. Check their website.
Myositis Associationof America
755 Cantrell Avenue., Suite C
Harrisonburg, VA 22801
Phone: (540) 433-7686
email: maa@myositis.org
www.mysoitis.org
If you telephone the organization you may get a referral to a specialist in your geographic location. They are a good resource.