Unusual presentation of anasarca

: Connective tissue disorders are to be suspected in any case of prolonged fever, especially when it is associated with edema, weakness and joint involvement ,we made a diagnosis of juvenile dermatomyositis in one such case. Juvenile dermatomyositis (JDM) is a multisystem disease of uncertain origin that results in nonsuppurative inflammation of striated muscle and skin. It is characterized early in its course by an immune complex vasculitis of varying severity and later by development of calcinosis