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

[31] Successful treatment with tacrolimus of progressive interstitial pneumonia associated with amyopathic dermatomyositis refractory to cyclosporine [J].

Ando, Masaru ;

Miyazaki, Eishi ;

Yamasue, Mari ;

Sadamura, Yukiko ;

Ishii, Toshihiro ;

Takenaka, Ryuichi ;

Ito, Takeo ;

Nureki, Shin-ichi ;

Kumamoto, Toshihide .

CLINICAL RHEUMATOLOGY, 2010, 29 (04) :443-445

[32] Favorable outcome with hemoperfusion of polymyxin B-immobilized fiber column for rapidly progressive interstitial pneumonia associated with clinically amyopathic dermatomyositis: report of three cases [J].

Ichiyasu, Hidenori ;

Horio, Yuko ;

Tsumura, Shinsuke ;

Hirosako, Susumu ;

Sakamoto, Yasumiko ;

Sakata, Shinya ;

Nakashima, Kei ;

Komatsu, Taiyo ;

Kojima, Keisuke ;

Masunaga, Aiko ;

Fujii, Kazuhiko ;

Saita, Naoki ;

Kohrogi, Hirotsugu .

MODERN RHEUMATOLOGY, 2014, 24 (02) :361-365

[33] Successful delivery in a patient with clinically amyopathic dermatomyositis during pregnancy despite first-trimester acute exacerbation of interstitial lung disease [J].

Ochiai, Moeko ;

Sato, Eri ;

Tanaka, Eiichi ;

Tochihara, Mari ;

Shimizu, Yoko ;

Osawa, Hikota ;

Sidara, Kumi ;

Sugimoto, Naoki ;

Hoshi, Daisuke ;

Kawaguchi, Yasushi ;

Taniguchi, Atsuo ;

Yamanaka, Hisashi .

MODERN RHEUMATOLOGY, 2017, 27 (02) :364-368

[34] Interstitial lung disease in patients with polymyositis, dermatomyositis and amyopathic dermatomyositis [J].

Kang, EH ;

Lee, EB ;

Shin, KC ;

Im, CH ;

Chung, DH ;

Han, SK ;

Song, YW .

RHEUMATOLOGY, 2005, 44 (10) :1282-1286

[35] A Case of Interstitial Lung Disease Associated With Clinically Amyopathic Dermatomyositis Radiologic-Pathologic Correlation [J].

Okubo, Gosuke ;

Noma, Satoshi ;

Nishimoto, Yuko ;

Sada, Ryuichi ;

Kobashi, Yoichiro .

JOURNAL OF THORACIC IMAGING, 2013, 28 (01) :W24-W26

[36] Adult clinically amyopathic dermatomyositis with rapid progressive interstitial lung disease: a retrospective cohort study [J].

Shuang Ye ;

Xiao-xiang Chen ;

Xiao-ye Lu ;

Mei-fang Wu ;

Yun Deng ;

Wen-qun Huang ;

Qiang Guo ;

Cheng-de Yang ;

Yue-ying Gu ;

Chun-de Bao ;

Shun-le Chen .

Clinical Rheumatology, 2007, 26 :1647-1654

[37] Juvenile Clinically Amyopathic Dermatomyositis: A Case Report and Review of Literature [J].

Javadi Parvaneh, Vadood ;

Yasaei, Mehrdad ;

Rahmani, Khosro ;

Nilipour, Yalda ;

Shiari, Reza .

IRANIAN JOURNAL OF CHILD NEUROLOGY, 2019, 13 (03) :113-120

[38] Adult clinically amyopathic dermatomyositis with rapid progressive interstitial lung disease: a retrospective cohort study [J].

Ye, Shuang ;

Chen, Xiao-xiang ;

Lu, Xiao-ye ;

Wu, Mei-fang ;

Deng, Yun ;

Huang, Wen-qun ;

Guo, Qiang ;

Yang, Cheng-de ;

Gu, Yue-ying ;

Bao, Chun-de ;

Chen, Shun-le .

CLINICAL RHEUMATOLOGY, 2007, 26 (10) :1647-1654

[39] Interstitial lung diseases associated with amyopathic dermatomyositis [J].

Suda, T. ;

Fujisawa, T. ;

Enomoto, N. ;

Nakamura, Y. ;

Inui, N. ;

Naito, T. ;

Hashimoto, D. ;

Sato, J. ;

Toyoshima, M. ;

Hashizume, H. ;

Chida, K. .

EUROPEAN RESPIRATORY JOURNAL, 2006, 28 (05) :1005-1012

[40] Predictive factors of rapidly progressive-interstitial lung disease in patients with clinically amyopathic dermatomyositis [J].

Xu, Y. ;

Yang, C. S. ;

Li, Y. J. ;

Liu, X. D. ;

Wang, J. N. ;

Zhao, Q. ;

Xiao, W. G. ;

Yang, P. T. .

CLINICAL RHEUMATOLOGY, 2016, 35 (01) :113-116

← 1 2 3 4 5 →