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MR Vol.12 No.4 indexに戻る
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MODERN RHEUMATOLOGY
Vol.12 No.4 |
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Cyclosporin-A ameliorated interstitial pneumonitis
in a patient with amyopathic dermatomyositis |
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| M. Aoki1, Y. Matsukawa1, M. Kaneko1, T.
Hattori1, T. Shimizu1, S. Nishinarita1, T. Horie1 |
| (1)First Department of Internal Medicine, Nihon
University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo
173-8610, Japan |
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| Abstract |
| Abstract A 40-year-old woman with amyopathic
dermatomyositis (ADM) developed acute pneumonitis. Despite pulse
methylprednisolone therapy, the pneumonitis worsened. We therefore
initiated cyclosporin-A (Cy-A) therapy with success, although Pneumocystis
carinii (PC) pneumonia occurred. Coexistence of dermatomyositis (DM)-related
pneumonitis and PC pneumonia was diagnosed by means of chest X-ray
findings, KL-6, and polymerase chain reaction (PCR) for PC. We thus
continued Cy-A therapy to ameliorate the pneumonitis. Cy-A appeared
to be effective for corticosteroid-resistant pneumonitis in a patient
with DM. |
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| Key words |
| Key words Cyclosporin-A (Cy-A) ・ Dermatomyositis
(DM) ・ Interstitial pneumonitis (IP) ・ KL-6 ・ Pneumocystis carinii
(PC) |
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