Dermatomyositis exacerbated by abdominal Marlex mesh implantation: adjuvant effect?

We describe a 35-year-old woman with dermatomyositis, who four months after implantation of abdominal Marlex mesh, developed a severe exacerbation of her disease with muscle weakness, elevated acute-phase reactants, a high level of muscle enzymes, and the appearance of dermal lesions with calcinosis. The Marlex mesh implant may have triggered the flare-up of her underlying autoimmune disorder.