Successful Immunoglobulin Treatment in Severe Cryptogenic Organizing Pneumonia Caused by Dermatomyositis / 대한중환자의학회지
Korean Journal of Critical Care Medicine
;
: 212-217, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-33301
ABSTRACT
In connective tissue diseases, autoantibodies cause pulmonary interstitial inflammation and fibrosis, and patients require treatment with an immunosuppressive agent such as a steroid. Dermatomyositis is an incurable, uncommon form of connective tissue disease that occasionally causes diffuse pulmonary inflammation leading to acute severe respiratory failure. In such cases, the prognosis is very poor despite treatment with high-dose steroid. In the present case, a 46-year-old man was admitted to our hospital with dyspnea. He was diagnosed with dermatomyositis combined with cryptogenic organizing pneumonia (COP) with respiratory failure and underwent treatment with steroid and an immunosuppressive agent, but the COP was not improved. However, the respiratory failure did improve after treatment with intravenous immunoglobulin, which therefore can be considered a treatment option in cases where steroids and immunosuppressive agents are ineffective.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia
/
Prognóstico
/
Insuficiência Respiratória
/
Autoanticorpos
/
Esteroides
/
Fibrose
/
Imunoglobulinas
/
Doenças Pulmonares Intersticiais
/
Pneumonia em Organização Criptogênica
/
Doenças do Tecido Conjuntivo
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Critical Care Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo
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