Diaphragmatic dysfunction in patients with idiopathic inflammatory myopathies

Autor: Alexandre Demoule, Patrick Cherin, Eric Verin, Serge Herson, Michèle Levy-Soussan, Christian Straus, Thomas Similowski, Marc Zelter, Jean-Philippe Derenne, Antônio Lúcio Teixeira
Rok vydání: 2005
Předmět:
Zdroj: Neuromuscular Disorders. 15:32-39
ISSN: 0960-8966
Popis: Polymyositis, dermatopolymyositis, and inclusion body myositis imply chronic inflammation of skeletal muscles. Pulmonary complications include aspiration pneumonia, interstitial pneumonitis, or respiratory muscle myositis. This study aims at better describing their impact on respiratory muscle. Twenty-three consecutive patients (12 PM, 5 DM, 6 IBM) were studied (static inspiratory and expiratory pressures; diaphragm function in terms of the mouth and transdiaphragmatic pressure responses to bilateral phrenic stimulation). Pulmonary parenchymatous abnormalities were mild (6 cases) or absent. The mouth pressure produced by phrenic stimulation was 6.83+/-3.01 cm H2O, with 18 patients (78%) diagnosed with diaphragm weakness (
Databáze: OpenAIRE