Chanbour Hani, Jiblawi Ahmad, Aboudalle Ahmad, Alalman Obada, Chahine Elsett Zahia
Neurosurgery, Lebanese University Faculty of Medicine, Beirut, LBN.
Radiology, American University of Beirut Medical Center, Beirut, LBN.
Cureus. 2021 Nov 24;13(11):e19875. doi: 10.7759/cureus.19875. eCollection 2021 Nov.
The association between silicosis and autoimmune diseases is not uncommon. Silicosis is well correlated with rheumatoid arthritis and systemic lupus erythematosus. However, cases of dermatomyositis associated with silicosis are relatively understudied. We report a case of a 59-year-old man with a history of cardiac, respiratory, and systemic symptoms for the duration of a year, who present to the ER with acute dyspnea, fever, chest pain, and dry cough, and was diagnosed with silicosis and dermatomyositis. In this case report, we discuss the workup done in order to reach the diagnosis, as well as the pathological mechanism that might have led to the emergence of those two entities in the same patient.
矽肺与自身免疫性疾病之间的关联并不罕见。矽肺与类风湿性关节炎和系统性红斑狼疮密切相关。然而，与矽肺相关的皮肌炎病例相对研究较少。我们报告一例59岁男性，有心脏、呼吸和全身症状长达一年，因急性呼吸困难、发热、胸痛和干咳就诊于急诊室，被诊断为矽肺和皮肌炎。在本病例报告中，我们讨论了为明确诊断所做的检查，以及可能导致同一患者出现这两种疾病的病理机制。
