Anti-Mi-2 antibody-positive lung cancer-associated polymyositis

被引:0
作者
Shimoda, Masafumi [1 ]
Tanaka, Yoshiaki [1 ]
Taniguchi, Atsuo [2 ]
Morimoto, Kozo [1 ]
Yoshimori, Kozo [1 ]
Ohta, Ken [1 ]
机构
[1] Fukujuji Hosp, Resp Dis Ctr, Japan AntiTB Assoc, 3-1-24 Mastuyama, Kiyose, Tokyo 2048522, Japan
[2] Fukujuji Hosp, Dept Rheumatol, Japan AntiTB Assoc, Kiyose, Tokyo, Japan
关键词
Lung cancer; Polymyositis; Anti-Mi-2; antibody; Creatinine kinase; Cancer-associated myositis; DERMATOMYOSITIS; AUTOANTIBODIES; MYOSITIS; DISEASE;
D O I
10.1007/s13691-023-00601-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
After a 75-year-old man was diagnosed with lung cancer, proximal weakness and myalgia in the bilateral lower extremities developed, and the creatinine kinase (CK) level was elevated. The anti-Mi-2 antibody test was positive, muscle T2-weighted/fat-suppressed magnetic resonance imaging showed high intensity, and there were no skin lesions. Therefore, he was diagnosed with lung cancer-associated polymyositis (PM). The lung tumour shrank after chemotherapy, accompanied by gradual improvement of his PM-derived symptoms and CK level. Although positive anti-Mi-2 antibody tests rarely indicate PM and cancer, examining myositis-specific autoantibodies, including anti-Mi-2, should be considered if the CK level increases after a cancer diagnosis.
引用
收藏
页码:173 / 176
页数:4
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