Amyopathic Dermatomyositis Complicated with Eosinophilic Pneumonia

Yuki Iijima; Haruhiko Furusawa; Tomoya Tateishi; Kimitake Tsuchiya; Toshihide Fujie; Meiyo Tamaoka; Hiroyuki Sakashita; Yasunari Miyazaki; Yuki Sumi; Yuji Hosono; Ran Nakashima; Tsuneyo Mimori; Naohiko Inase

doi:10.2169/internalmedicine.53.0738

CASE REPORTS

Amyopathic Dermatomyositis Complicated with Eosinophilic Pneumonia

Yuki Iijima, Haruhiko Furusawa, Tomoya Tateishi, Kimitake Tsuchiya, Toshihide Fujie, Meiyo Tamaoka, Hiroyuki Sakashita, Yasunari Miyazaki, Yuki Sumi, Yuji Hosono, Ran Nakashima, Tsuneyo Mimori, Naohiko Inase

Author information

Yuki Iijima
Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan
Haruhiko Furusawa
Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan
Tomoya Tateishi
Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan
Kimitake Tsuchiya
Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan
Toshihide Fujie
Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan
Meiyo Tamaoka
Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan
Hiroyuki Sakashita
Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan
Yasunari Miyazaki
Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan
Yuki Sumi
Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan
Yuji Hosono
Department of Rheumatology and Clinical Immunology, Kyoto University Graduate School of Medicine, Japan
Ran Nakashima
Department of Rheumatology and Clinical Immunology, Kyoto University Graduate School of Medicine, Japan
Tsuneyo Mimori
Department of Rheumatology and Clinical Immunology, Kyoto University Graduate School of Medicine, Japan
Naohiko Inase
Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan

Keywords: amyopathic dermatomyositis, eosinophilic pneumonia, interstitial lung disease, interstitial pneumonia

JOURNAL OPEN ACCESS

2014 Volume 53 Issue 14 Pages 1539-1544

DOI https://doi.org/10.2169/internalmedicine.53.0738

Details

Abstract

A 67-year-old woman was admitted to our hospital due to dyspnea on exertion with lung abnormal shadows. A transbronchial lung biopsy specimen demonstrated eosinophilic pneumonia (EP). The patient also exhibited heliotrope eyelids without muscle weakness, which led to a diagnosis of amyopathic dermatomyositis (ADM). As we were unable to find any other causes of EP, we diagnosed her as having EP associated with ADM. Dermatomyositis (DM) has been reported to be associated with various interstitial lung diseases; however, only one case of EP associated with DM has been reported. We herein report the first case of EP complicated with ADM.

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