An Autopsy Case of Anti-melanoma Differentiation-associated Gene-5 Antibody-positive Clinical Amyopathic Dermatomyositis Complicated by Rapidly Progressive Interstitial Lung Disease

被引：9

作者：

Yoshida, Naomi ^{[1
]}

Kaieda, Shinjiro ^{[1
]}

Tomozoe, Kumi ^{[1
]}

Tajiri, Morihiro ^{[1
]}

Wakasugi, Daisuke ^{[1
]}

Okamoto, Masaki ^{[1
]}

Tominaga, Masaki ^{[1
]}

Ida, Hiroaki ^{[1
]}

Hoshino, Tomoaki ^{[1
]}

机构：

[1] Kurume Univ, Sch Med, Dept Med, Div Respirol Neurol & Rheumatol, Kurume, Fukuoka, Japan

来源：

INTERNAL MEDICINE | 2016年 / 55卷 / 12期

关键词：

anti-MDA-5; antibody; clinical amyopathic dermatomyositis; palmar papules; rapidly progressive interstitial lung disease; JAPANESE PATIENTS; ANTI-CADM-140; ANTIBODY; AUTOANTIBODIES; MYOSITIS; FEATURES; AUTOANTIGEN; PNEUMONIA; PROGNOSIS; CADM-140; THERAPY;

D O I：

10.2169/internalmedicine.55.6055

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 62-year-old man presented with heliotrope rash, Gottron's sign, and mild muscle weakness. Both of his lung fields showed interstitial changes that worsened rapidly. He was diagnosed with clinical amyopathic dermatomyositis with rapidly progressive interstitial lung disease. The patient died of respiratory failure, despite the administration of immunosuppressive therapy. Autopsy revealed diffuse alveolar damage. An antibody analysis, which was performed postmortem, detected the presence of anti-melanoma differentiation-associated gene (MDA)-5 antibodies. Clinicians should note the clinical, radiologic, and serologic findings to predict anti-MDA-5 antibody-associated rapidly progressive interstitial lung disease.

引用

页码：1653 / 1659

页数：7

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