Slowly progressive interstitial lung disease preceding typical dermatomyositis symptoms in anti-melanoma differentiation-associated gene 5 antibody-positive clinically amyopathic dermatomyositis

Autor: Taisuke Isono, Hiromi Nakajima, Kenji Takano, Yoichi Kobayashi, Yoshinori Kawabata, Yoshihiko Shimizu, Noboru Takayanagi
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Respiratory Medicine Case Reports, Vol 34, Iss , Pp 101491- (2021)
Druh dokumentu: article
ISSN: 2213-0071
DOI: 10.1016/j.rmcr.2021.101491
Popis: A 73-year-old woman who visited our hospital complaining of dry cough for three months was refractory to antimicrobial therapy. Chest computed tomography revealed subpleural consolidation. Specimens obtained from surgical lung biopsy revealed subpleural perilobular airspace organization and fibrosis. After the biopsy, mechanic's hand and Gottron's papules appeared, and anti-melanoma differentiation-associated gene 5 (MDA5) antibody was found to be positive. Subsequently, anti-MDA5 antibody measured in cryopreserved serum from her first admission proved to be positive. It is difficult to suspect the presence of anti-MDA-5 antibody in patients with interstitial lung disease without typical dermatomyositis symptoms or slow disease progression.
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