Pericardial artery lymphoma in a patient with dermatomyositis: A case report

被引：0

作者：

Hirose, Kei ^{[1
]}

Katsuyama, Takayuki ^{[1
]}

Kubota, Natsuki ^{[1
]}

Terajima, Yuya ^{[1
]}

Matsumoto, Kazuya ^{[1
]}

Shidahara, Kenta ^{[1
]}

Nakadoi, Takato ^{[1
]}

Nawachi, Shoichi ^{[1
]}

Katayama, Yu ^{[1
]}

Miyawaki, Yoshia ^{[1
]}

Katsuyama, Eri ^{[1
,2
]}

Narazaki-Takano, Mariko ^{[1
]}

Matsumoto, Yoshinori ^{[1
]}

Asada, Noboru ^{[3
]}

Sada, Ken-Ei ^{[1
,4
]}

Wada, Jun ^{[1
]}

机构：

[1] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Nephrol Rheumatol Endocrinol & Metab, 2-5-1 Shikata-cho Kita-ku, Okayama 7008558, Japan

[2] Okayama Univ, Grad Sch Hlth Sci, Dept Med Lab Sci, Okayama, Japan

[3] Okayama Univ Hosp, Dept Hematol & Oncol, Okayama, Japan

[4] Kochi Univ, Kochi Med Sch, Dept Clin Epidemiol, Nankoku, Kochi, Japan

来源：

MODERN RHEUMATOLOGY CASE REPORTS | 2024年 / 9卷 / 01期

关键词：

Pericardial artery lymphoma; dermatomyositis; anti-TIF1-gamma antibody; positron emission tomography-computed tomography (PET-CT); CARDIAC TUMORS; MALIGNANCY; CT; POLYMYOSITIS; RISK;

D O I：

10.1093/mrcr/rxae065

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A woman in her 60s presented with erythema on both elbows, dyspnea on exertion, discomfort, and swelling of the left upper extremity, followed by swelling and myalgia of the right upper and lower extremities. She was diagnosed with anti-transcriptional intermediary factor 1-gamma antibody-positive dermatomyositis with interstitial pneumonia. The initial screening tests for malignant diseases including contrast-enhanced computed tomography, upper and lower endoscopy, and gynecological examination did not reveal any obvious abnormalities. The patient experienced two recurrent episodes of muscle weakness and dysphagia during treatment with intravenous glucocorticoids and cyclophosphamide. Five months after diagnosis, a bone marrow biopsy and positron emission tomography-computed tomography scan revealed a coronary malignant lymphoma with suspected systemic metastasis. Although chemotherapy was initiated, the patient ultimately succumbed to alveolar haemorrhage. Coronary lymphoma is very rare and there has been no report of cases associated with myositis. Positron emission tomography-computed tomography may be useful for searching malignancy in anti-transcriptional intermediary factor 1-gamma antibody-positive dermatomyositis cases of recurrent relapse.

引用

页码：100 / 103

页数：4