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MODERN RHEUMATOLOGY Vol.14 No.5

A case of polymyositis complicated with organizing pneumonia: case report and literature review
Hiroshi Oiwa1,6 , Akihiro Maeda2, Takashi Nishisaka3, Yuji Yamanishi4, Seizou Yamana1 and Atsushi Takanashi5

(1) Department of Rheumatology, Higashihiroshima Memorial Hospital, Higashihiroshima, Japan
(2) Department of Respiratory Medicine, Higashihiroshima Medical Center, Higashihiroshima, Japan
(3) Department of Pathology and Laboratory Medicine, Hiroshima Prefectural Hospital, Hiroshima, Japan
(4) Department of Rheumatology, Hiroshima City Hospital, Hiroshima, Japan
(5) Department of Internal Medicine, Motonaga Hospital, Higashihiroshima, Japan
(6) Present address: National Hiroshima Hospital, 513 Jike, Saijo, Higashihiroshima 739-0041, Japan

Received: 18 August 2003 Accepted: 21 June 2004

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Abstract

A 54-year-old man was admitted to hospital with fever, dyspnea, and polyarthralgia. A chest radiograph showed consolidations in the bilateral lungs, and histological examination of transbronchial lung biopsy samples revealed organizing pneumonia. He was also diagnosed with polymyositis because of muscle weakness, elevated muscle enzymes, myogenic findings on the electromyogram, and a positive test for the anti-Jo-1 antibody. Herein, we review 25 cases of organizing pneumonia with polymyositis/dermatomyositis with respect to their clinical features and treatment.
 
Key words
Organizing pneumonia (OP) - Polymyositis - Review
 
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