Successful Immunoglobulin Treatment in Severe Cryptogenic Organizing Pneumonia Caused by Dermatomyositis

Title
Successful Immunoglobulin Treatment in Severe Cryptogenic Organizing Pneumonia Caused by Dermatomyositis
Authors
손장원
Keywords
cryptogenic organizing pneumonia; dermatomyositis; immunoglobulins; lung diseases; interstitial
Issue Date
2015-08
Publisher
대한중환자의학회
Citation
대한중환자의학회지, v. 30, NO 3, Page. 212-217
Abstract
In connective tissue diseases, autoantibodies cause pulmonary interstitial inflammation and fibrosis, and patients require treatment with an immunosuppressive agent such as a steroid. Dermatomyositis is an incurable, uncommon form of connective tissue disease that occasionally causes diffuse pulmonary inflammation leading to acute severe respiratory failure. In such cases, the prognosis is very poor despite treatment with high-dose steroid. In the present case, a 46-year-old man was admitted to our hospital with dyspnea. He was diagnosed with dermatomyositis combined with cryptogenic organizing pneumonia (COP) with respiratory failure and underwent treatment with steroid and an immunosuppressive agent, but the COP was not improved. However, the respiratory failure did improve after treatment with intravenous immunoglobulin, which therefore can be considered a treatment option in cases where steroids and immunosuppressive agents are ineffective.
URI
https://www.kjccm.org/journal/view.php?doi=10.4266/kjccm.2015.30.3.212http://hdl.handle.net/20.500.11754/26776
ISSN
2383-4870; 2383-4889
DOI
http://dx.doi.org/10.4266/kjccm.2015.30.3.212
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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