Dermatomyositis, complicated with pneumomediastinum, successfully treated with cyclosporine A: a case report and review of literature

被引:11
作者
Kim, Hui-Jung [1 ,2 ]
Hong, Yun-Kyung [1 ,2 ]
Yoo, Wan-Hee [1 ,2 ]
机构
[1] Chonbuk Natl Univ, Div Rheumatol, Sch Med, Dept Internal Med, Jeonju 561712, Jeononbuk, South Korea
[2] Chonbuk Natl Univ, Res Inst Clin Med, Jeonju 561712, Jeononbuk, South Korea
关键词
Cyclosporine A; Dermatomyositis; Pneumomediastinum; OF-THE-LITERATURE; MUSCLE-FIBERS; INTERSTITIAL PNEUMONITIS; EXPRESSION; POLYMYOSITIS/DERMATOMYOSITIS; LYMPHOCYTES; MYOPATHIES; MOLECULES; SUBSETS; CELLS;
D O I
10.1007/s00296-008-0822-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a rare case of patient with dermatomyositis (DM) who developed spontaneous pneumomediastinum (PnM) and subcutaneous emphysema. She was successfully treated with oral prednisolone and cyclosporine A (CsA). We reviewed the cases of PnM in patients with DM treated with CsA. A review of four previously reported cases revealed that treatment with systemic glucocorticoid and CsA was effective for the DM and PnM. We indicate that initial and early treatment of the patients with DM and PnM with CsA enabled rapid tapering of the dose of glucocorticoid and improved the disease.
引用
收藏
页码:1101 / 1104
页数:4
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