Blood purification in two patients with clinically amyopathic dermatomyositis associated with interstitial lung disease with anti-melanoma differentiation-associated gene-5 antibody (MDA-5)

Autor: Han-yu Shi, Xue-ren Li, Lu-qing Wei, Shou-chun Peng
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Respiratory Medicine Case Reports, Vol 28, Iss , Pp - (2019)
Druh dokumentu: article
ISSN: 2213-0071
DOI: 10.1016/j.rmcr.2019.100896
Popis: Patients of clinically amyopathic dermatomyositis associated with rapidly progressive interstitial pneumonia (CADM-RFIP) with positive anti-MDA5 antibody usually presents rapid deterioration and traditional therapy such as cyclophosphamide combined with high-dose prednisone pulse therapy shows no clear benefit at whiles. However, blood purification combined with traditional therapy works according to the literature. We herein report two CADM-RFIP patients administered with DNA immunoadsorption combined with traditional therapy and then reviewed the literature of blood purification in CADM-RFIP patients at home and abroad to date. We emphasize blood purification such as DNA immunoadsorption could apply in the early stage of CADM-RFIP, which can decrease inflammation and allow us more time to control the condition better. Keywords: anti-MDA5 body, CADM, DNA immunoadsorption, Interstitial lung disease
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