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MR Vol.14 No.3 indexに戻る
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MODERN RHEUMATOLOGY
Vol.14 No.3 |
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A case of pneumatosis cystoides intestinalis
in a patient with polymyositis and interstitial pneumonia |
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| Yoko Wada1, 2 , Naoya Murayama1, Shintaro Hirose1,
Hian In1, Takeshi Kuroda2, Satoshi Ito2, Masaaki Nakano3 and Fumitake
Gejyo2 |
(1) Department of Internal Medicine, Nagaoka
Central General Hospital, Nagaoka, Japan
(2) Division of Clinical Nephrology and Rheumatology, Niigata University Graduate
School of Medical and Dental Sciences, 1-757, Asahimachi-dori, Niigara, 951-8510,
Japan
(3) School of Health Sciences, Faculty of Medicine, Niigata University, Niigata,
Japan |
Received: 18 September 2003
Accepted: 03 March 2004 |
| Abstract |
| We report the case of a 49-year-old man who
presented with pneumatosis cystoides intestinalis associated with
polymyositis
and interstitial pneumonia. Three months after the administration
of prednisolone and cyclosporine, he noticed mild abdominal distension,
and a radiographic examination showed intraperitoneal free gas and
intramural gas, suggestive of pneumatosis cystoides intestinalis
(PCI). Additional treatment with a combination of doxycycline and
high-dose oxygen therapy was effective in relieving the clinical
symptoms and reducing the intramural gas. |
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| Key words |
| Intersitial pneumonia - Pneumatosis cystoides
intestinalis (PCI) - Polymyositis |
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