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以急性间质性肺炎为首发表现的抗合成酶综合征:1例非典型病例

Acute interstitial pneumonia as first presentation of anti-synthetase syndrome: an atypical case.

作者信息

Jan Kalimullah, Sriranganathan Melonie Kannamma

机构信息

Department of Medicine, Changi General Hospital, Singapore.

出版信息

Oxf Med Case Reports. 2018 Apr 4;2018(4):omy003. doi: 10.1093/omcr/omy003. eCollection 2018 Apr.

DOI:10.1093/omcr/omy003
PMID:29644083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5887849/
Abstract

Anti-synthetase syndrome is characterized by myositis associated with interstitial lung disease (ILD), the usual pattern of ILD being non-specific interstitial pneumonia type or usual interstitial pneumonia. We report a case of anti-synthetase syndrome presenting as acute interstitial pneumonia which is reported only once before. With this case, we emphasize the need to consider anti-synthetase syndrome even in patients presenting with acute onset ILD. Physicians should raise their index of suspicion in this clinical context as timely diagnosis, early treatment, and a multidisciplinary approach is paramount for optimal care of these patients.

摘要

抗合成酶综合征的特征是肌炎伴发间质性肺疾病(ILD),ILD的常见类型为非特异性间质性肺炎或普通间质性肺炎。我们报告了一例表现为急性间质性肺炎的抗合成酶综合征病例,此前仅有一次相关报道。通过该病例,我们强调即使是急性起病的ILD患者也需要考虑抗合成酶综合征。在这种临床情况下,医生应提高警惕,因为及时诊断、早期治疗以及多学科方法对于这些患者的最佳治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f83/5887849/5c49b42c6e07/omy003f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f83/5887849/5c49b42c6e07/omy003f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f83/5887849/5c49b42c6e07/omy003f01.jpg

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本文引用的文献

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Respir Med. 2014 Oct;108(10):1542-8. doi: 10.1016/j.rmed.2014.09.003. Epub 2014 Sep 18.
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