MR Vol.10 No.3 indexに戻る

MODERN RHEUMATOLOGY Vol.10 No.3             
Successful treatment using high-dose intravenous immunoglobulin in a patient with rapidly progressive interstitial pneumonia associated with dermatomyositis
Y. Nagatomo1, A. Okayama1, K. Murai1, T. Sasaki1, M. Kuroki1, G. Tanaka1, M. Iga1, Y. Kai1, H. Tsubouchi
(1)Department of Internal Medicine II, Miyazaki Medical College, 5200 Kihara, Kiyotake, Miyazaki 889-1601, Japan
 
Abstract
Abstract A 36-year-old male patient with dermatomyo-sitis (DM) associated with rapidly progressive interstitial pneumonia (IP) was successfully treated by high-dose intravenous immunoglobulin (IVIG). He suffered from myopathy, skin lesions, and IP. In spite of the treatment with a high-dose corticosteroid, IP progressed rapidly. Then high-dose intravenous immunoglobulin (20 g/day, 4 days) was administered. The skin lesions, myopathy, and pulmonary lesions improved. High-dose IVIG was considered to be a relatively safe and effective treatment for progressive IP associated with DM.
 
Key words
Key words High-dose intravenous immunoglobulin (IVIG) ・ Rapidly progressive interstitial pneumonia ・ Dermatomyositis
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