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抗PL-7抗体阳性皮肌炎合并进行性间质性肺炎及气管溃疡

Anti-PL-7 antibody-positive dermatomyositis with progressive interstitial pneumonia complicated with tracheal ulcer.

作者信息

Sato Shintaro, Yamakawa Hideaki, Takemura Tamiko, Nakamura Tomohiko, Oba Tomohiro, Nishizawa Tomotaka, Kawabe Rie, Akasaka Keiichi, Amano Masako, Matsushima Hidekazu

机构信息

Department of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, Japan.

Department of Pathology, Kanagawa Cardiovascular and Respiratory Center, Kanagawa, Japan.

出版信息

Respir Med Case Rep. 2021 Jun 2;33:101449. doi: 10.1016/j.rmcr.2021.101449. eCollection 2021.

Abstract

Tracheobronchial lesions are rare extramuscular complications for idiopathic inflammatory myopathies including dermatomyositis. We herein report a 65-year-old woman with tracheal ulcer during the progression of dermatomyositis-associated interstitial lung disease. Treatment with corticosteroids combined with immunosuppressive agents resulted in improvement of the tracheal ulcer and pulmonary involvement. We believe that the tracheal ulceration might reflect the disease behaviour of dermatomyositis and dermatomyositis-associated interstitial pneumonia.

摘要

气管支气管病变是包括皮肌炎在内的特发性炎性肌病罕见的肌外并发症。我们在此报告一名65岁女性,在皮肌炎相关间质性肺疾病进展过程中出现气管溃疡。使用皮质类固醇联合免疫抑制剂治疗后,气管溃疡和肺部病变有所改善。我们认为气管溃疡可能反映了皮肌炎及皮肌炎相关间质性肺炎的疾病表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18f/8349009/acc13cd4b3c8/gr1.jpg

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