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Yeungnam Univ J Med > Volume 25(2); 2008 > Article
Yeungnam University Journal of Medicine 2008;25(2):117-123.
DOI: https://doi.org/10.12701/yujm.2008.25.2.117    Published online December 31, 2008.
A Case of Dermatomyositis with Secondary Organizing Pneumonia.
Chul Yun Park, Jung Seok Chung, Jin Wook Chung, Choong Ki Lee, Dae Sung Hyun, Jung Yoon Choe
1Department of Internal Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea.
2Deparment of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea. cklee@med.yu.ac.k
Abstract
Dermatomyositis is characterized by progressive, symmetric, proximal muscle weakness and a nonsuppurative inflammatory myopathy of unknown etiology involving predominantly skeletal muscles. It is also characterized by typical skin lesions. Interstitial lung disease has a poor prognosis when it is associated with dermatomyositis. Organizing pneumonia is a disease in which granulation tissue fills the lumina of terminal and respiratory bronchioles and extends into the distal airspaces. The cryptogenic nature of the process is appreciated in that organizing pneumonia patterns of injury can be seen in secondary forms of the disease (secondary organizing pneumonia). Organizing pneumonia has been reported to occur in 5~10% in dermatomyositis-polymyositis patients. Anti-histidyl tRNA synthetase antibody (anti-Jo-1) is a predictive disease marker that is reported to occur in up to 70% of patients. We describe a 49-year-old male dermatomyositis patient who presented with organizing pneumonia and was found to have negative anti-Jo-1 antibody.
Key Words: Dermatomyositis, Secondary organizing pneumonia, Anti-Jo-1 antibody


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