Clinically Amyopathic Dermatomyositis with Interstitial Pneumonia That Was Successfully Treated with Plasma Exchange

被引：19

作者：

Yagishita, Mizuki ^{[1
]}

Kondo, Yuya ^{[1
]}

Terasaki, Toshihiko ^{[1
]}

Terasaki, Mayu ^{[1
]}

Shimizu, Masan ^{[1
]}

Honda, Fumika ^{[1
]}

Oyama, Ayako ^{[1
]}

Takahashi, Hiroyuki ^{[1
]}

Yokosawa, Masahiro ^{[1
]}

Asashima, Hiromitsu ^{[1
]}

Hagiwara, Shinya ^{[1
]}

Tsuboi, Hiroto ^{[1
]}

Matsumoto, Isao ^{[1
]}

Sumida, Takayuki ^{[1
]}

机构：

[1] Univ Tsukuba, Fac Med, Dept Internal Med, Tsukuba, Ibaraki, Japan

来源：

INTERNAL MEDICINE | 2018年 / 57卷 / 13期

关键词：

clinically amyopathic dermatomyositis; interstitial lung disease; plasma exchange; ANTIBODY-POSITIVE DERMATOMYOSITIS; LUNG-DISEASE; AUTOANTIBODIES; HEMOPERFUSION; COMPLICATION; FERRITIN; CADM-140; COHORT; ADULT;

D O I：

10.2169/internalmedicine.0297-17

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Patients with clinically amyopathic dermatomyositis (CADM), a subset of dermatomyositis characterized by a lack of muscle involvement, frequently develop rapidly progressive and treatment-resistant interstitial lung disease. We report the case of a 49-year-old man who was diagnosed with CADM. He developed interstitial pneumonia, which did not respond to combination therapy with methylprednisolone pulse therapy, cyclophosphamide, and cyclosporine. We therefore attempted plasma exchange. After 7 courses of therapeutic plasma exchange, the interstitial pneumonia gradually improved. This case suggests that plasma exchange might be an effective therapeutic option for patients with progressive interstitial lung disease in steroid- and immunosuppressive therapy-refractive CADM.

引用

页码：1935 / 1938

页数：4

共 50 条

[21] AdalimumabParadoxical clinically amyopathic dermatomyositis and interstitial lung disease: case report
Reactions Weekly, 2021, 1848 (1) : 23 - 23
[22] Early assessment of rapidly progressive interstitial pneumonia associated with amyopathic dermatomyositis
Miyazaki, Eishi
Ando, Masaru
Muramatsu, Tomoko
Fukami, Tetsujiro
Matsuno, Osamu
Nureki, Shin-ichi
Ueno, Takuya
Tsuda, Tomiyasu
Kumamoto, Toshihide
CLINICAL RHEUMATOLOGY, 2007, 26 (03) : 436 - 439
[23] CiclosporinLack of efficacy in interstitial pneumonia associated with amyopathic dermatomyositis: case report
Reactions Weekly, 2010, 1307 (1) : 18 - 18
[24] Early assessment of rapidly progressive interstitial pneumonia associated with amyopathic dermatomyositis
Eishi Miyazaki
Masaru Ando
Tomoko Muramatsu
Tetsujiro Fukami
Osamu Matsuno
Shin-ichi Nureki
Takuya Ueno
Tomiyasu Tsuda
Toshihide Kumamoto
Clinical Rheumatology, 2007, 26 : 436 - 439
[25] Clinical Differences Between Interstitial Lung Disease Associated With Clinically Amyopathic Dermatomyositis and Classic Dermatomyositis
Mukae, Hiroshi
Ishimoto, Hiroshi
Sakamoto, Noriho
Hara, Shintaro
Kakugawa, Tomoyuki
Nakayama, Seiko
Ishimatsu, Yuji
Kawakami, Atsushi
Eguchi, Katsumi
Kohno, Shigeru
CHEST, 2009, 136 (05) : 1341 - 1347
[26] Anti-MDA5 Antibody-positive Clinically Amyopathic Dermatomyositis with Rapidly Progressing Interstitial Lung Disease Successfully Treated by Initiation of Combined Immunosuppressive Therapy Plus Plasma Exchange and Subsequently Switching Tacrolimus to Tofacitinib
Yamazoe, Masami
Takeda, Kazuya
Nagano, Yutaro
Nagano, Kanami
Kato, Koji
Inoue, Takashi
Horiuchi, Kazuhiro
Kamada, Kazuro
INTERNAL MEDICINE, 2024, 63 (18) : 2571 - 2578
[27] Autoimmune pulmonary alveolar proteinosis during treatment for nonspecific interstitial pneumonia complicated by clinically amyopathic dermatomyositis: A case report
Arakawa, Naoko
Shiota, Yuno
Onizawa, Fumi
Miyata, Fumi
Miyoshi, Azusa
Akaba, Tomohiro
Tsuji, Mayoko
Arimura, Ken
Yagi, Osamitsu
Kondo, Mitsuko
Katsura, Hideki
Tagaya, Etsuko
RESPIROLOGY, 2023, 28 : 419 - 420
[28] Rapidly Progressive Interstitial Lung Disease as the Presenting Finding in Clinically Amyopathic Dermatomyositis
Sayad, K.
Greer, M. K.
Iftikhar, I. H.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2019, 199
[29] Potentially fatal interstitial lung disease can occur in clinically amyopathic dermatomyositis
Sontheimer, RD
Miyagawa, S
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2003, 48 (05) : 797 - 798
[30] Autoimmune pulmonary alveolar proteinosis during the treatment of nonspecific interstitial pneumonia complicated by clinically amyopathic dermatomyositis: A case report
Arakawa, Naoko
Shiota, Yuno
Onizawa, Fumi
Miyata, Fumi
Miyoshi, Azusa
Akaba, Tomohiro
Tsuji, Mayoko
Arimura, Ken
Yagi, Osamitsu
Kondo, Mitsuko
Katsura, Hideki
Tagaya, Etsuko
RESPIROLOGY CASE REPORTS, 2024, 12 (06):

← 1 2 3 4 5 →