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急性呼吸衰竭作为抗合成酶综合征的首发表现

Acute Respiratory Failure as the First Manifestation of Antisynthetase Syndrome.

作者信息

Toujani Sonia, Ben Mansour Amani, Mjid Meriem, Hedhli Abir, Cherif Jouda, Ouahchy Yassine, Beji Majed

机构信息

Department of Respiratory, Research Unit 12SP06, Faculty of Medicine of Tunis, El Manar Tunis University, Rabta hospital, Tunisia.

出版信息

Tanaffos. 2017;16(1):76-79.

PMID:28638428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5473386/
Abstract

We report the case of a 40-year-old man with acute respiratory failure syndrome that later proved to be an initial manifestation of antisynthetase syndrome. The diagnosis of this rare combination of a connective tissue disease and an acute respiratory failure is difficult in a previously asymptomatic patient. Early diagnosis and immunosuppressive therapy started precociously prevented the disease progression and resulted in a good outcome.

摘要

我们报告了一例40岁男性患者,其最初表现为急性呼吸衰竭综合征,后来被证实是抗合成酶综合征的首发表现。对于一名既往无症状的患者,诊断这种结缔组织病与急性呼吸衰竭的罕见组合颇具难度。早期诊断并尽早开始免疫抑制治疗可防止疾病进展,并带来良好预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3265/5473386/ffb1ba4458a3/Tanaffos-16-76-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3265/5473386/c9dfa8a89c7f/Tanaffos-16-76-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3265/5473386/ffb1ba4458a3/Tanaffos-16-76-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3265/5473386/c9dfa8a89c7f/Tanaffos-16-76-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3265/5473386/ffb1ba4458a3/Tanaffos-16-76-g002.jpg

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本文引用的文献

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Tuberc Respir Dis (Seoul). 2016 Jul;79(3):188-92. doi: 10.4046/trd.2016.79.3.188. Epub 2016 Jul 1.
2
Severe respiratory failure as a presenting feature of an interstitial lung disease associated with anti-synthetase syndrome (ASS).严重呼吸衰竭作为与抗合成酶综合征(ASS)相关的间质性肺疾病的首发特征。
Respir Investig. 2016 Jul;54(4):284-8. doi: 10.1016/j.resinv.2016.01.005. Epub 2016 Mar 8.
3
Anti-synthetase syndrome presenting as cryptogenic organizing pneumonia.
以隐源性机化性肺炎为表现的抗合成酶综合征。
Respir Med Case Rep. 2012 Oct 6;6:13-5. doi: 10.1016/j.rmcr.2012.08.003. eCollection 2012.
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Comparison of pulmonary involvement between patients expressing anti-PL-7 and anti-Jo-1 antibodies.比较抗-PL-7 抗体和抗-Jo-1 抗体表达患者的肺部受累情况。
Lung. 2015 Feb;193(1):79-83. doi: 10.1007/s00408-014-9665-7. Epub 2014 Nov 14.
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Interstitial Lung Disease in Idiopathic Inflammatory Myopathy.特发性炎性肌病中的间质性肺疾病
Curr Rheumatol Rev. 2010 May;6(2):108-119. doi: 10.2174/157339710791330740.
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Myositis-related interstitial lung disease and antisynthetase syndrome.肌炎相关性间质性肺病和抗合成酶综合征。
J Bras Pneumol. 2011 Jan-Feb;37(1):100-9. doi: 10.1590/s1806-37132011000100015.
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Chest. 2010 Dec;138(6):1464-74. doi: 10.1378/chest.10-0180.
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The pulmonary histopathologic manifestations of the anti-Jo-1 tRNA synthetase syndrome.抗 Jo-1 氨酰-tRNA 合成酶综合征的肺部组织病理学表现。
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