Rapidly Progressive Interstitial Pneumonia Associated with Clinically Amyopathic Dermatomyositis Successfully Treated with Polymyxin B-immobilized Fiber Column Hemoperfusion

Tomoyuki Kakugawa; Hiroshi Mukae; Masataka Saito; Koji Ishii; Hiroshi Ishimoto; Noriho Sakamoto; Takahiro Takazono; Yuichi Fukuda; Nobuharu Ooe; Shigeru Kohno

doi:10.2169/internalmedicine.47.0639

CASE REPORTS

Rapidly Progressive Interstitial Pneumonia Associated with Clinically Amyopathic Dermatomyositis Successfully Treated with Polymyxin B-immobilized Fiber Column Hemoperfusion

Tomoyuki Kakugawa, Hiroshi Mukae, Masataka Saito, Koji Ishii, Hiroshi Ishimoto, Noriho Sakamoto, Takahiro Takazono, Yuichi Fukuda, Nobuharu Ooe, Shigeru Kohno

Author information

Tomoyuki Kakugawa
Department of Internal Medicine, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
Hiroshi Mukae
Department of Anesthesia, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
Masataka Saito
The Second Department of Internal Medicine, Nagasaki University School of Medicine
Koji Ishii
The Second Department of Internal Medicine, Nagasaki University School of Medicine
Hiroshi Ishimoto
Department of Anesthesia, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
Noriho Sakamoto
Department of Anesthesia, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
Takahiro Takazono
Department of Internal Medicine, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
Yuichi Fukuda
Department of Internal Medicine, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
Nobuharu Ooe
Department of Internal Medicine, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
Shigeru Kohno
Department of Anesthesia, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital

Keywords: clinically amyopathic dermatomyositis, interstitial pneumonia, polymyxin B-immobilized fiber column hemoperfusion treatment, acute respiratory distress syndrome

JOURNAL OPEN ACCESS

2008 Volume 47 Issue 8 Pages 785-790

DOI https://doi.org/10.2169/internalmedicine.47.0639

Details

Abstract

Amyopathic dermatomyositis (ADM) is a clinical subtype of dermatomyositis, characterized by the absence of motor weakness and the presence of normal muscle enzyme levels. ADM is sometimes accompanied by interstitial pneumonia that shows a rapid progressive course associated with a poor prognosis. We describe a 70-year-old man who presented rapidly progressive interstitial pneumonia associated with clinically ADM (C-ADM); he was successfully treated with polymyxin B-immobilized fiber column (PMX) hemoperfusion.

Corresponding author

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