open access

Vol 87, No 4 (2019)
CASE REPORTS
Published online: 2019-08-30
Submitted: 2019-01-28
Accepted: 2019-06-05
Get Citation

An unusual case of idiopathic inflammatory myopathy presenting with organizing pneumonia as cavitary lesions

Sumita Agrawal, Nitesh Gupta, Rohit Kumar, M. K. Sen, Shibdas Chakrabarti, Jagdish Chander Suri
DOI: 10.5603/ARM.2019.0041
·
Pubmed: 31476013
·
Adv Respir Med 2019;87(4):243-246.

open access

Vol 87, No 4 (2019)
CASE REPORTS
Published online: 2019-08-30
Submitted: 2019-01-28
Accepted: 2019-06-05

Abstract

A young woman presented with gradually progressive breathlessness, cough and muscle weakness for one and a half year. Her chest radiograph showed multiple, bilateral thin-walled cavitary lesions. Her serum was found to be positive for anti-Jo1 antibodies on serology. Histopathology of lung lesions was suggestive of organizing pneumonia. The muscle biopsy demonstrated a myopathic pattern. On the basis of these findings she was diagnosed to be the case of idiopathic inflammatory myopathy. Her condition improved significantly after treatment with steroids.

Abstract

A young woman presented with gradually progressive breathlessness, cough and muscle weakness for one and a half year. Her chest radiograph showed multiple, bilateral thin-walled cavitary lesions. Her serum was found to be positive for anti-Jo1 antibodies on serology. Histopathology of lung lesions was suggestive of organizing pneumonia. The muscle biopsy demonstrated a myopathic pattern. On the basis of these findings she was diagnosed to be the case of idiopathic inflammatory myopathy. Her condition improved significantly after treatment with steroids.

Get Citation

Keywords

ILD, IIM, organizing pneumonia

About this article
Title

An unusual case of idiopathic inflammatory myopathy presenting with organizing pneumonia as cavitary lesions

Journal

Advances in Respiratory Medicine

Issue

Vol 87, No 4 (2019)

Pages

243-246

Published online

2019-08-30

DOI

10.5603/ARM.2019.0041

Pubmed

31476013

Bibliographic record

Adv Respir Med 2019;87(4):243-246.

Keywords

ILD
IIM
organizing pneumonia

Authors

Sumita Agrawal
Nitesh Gupta
Rohit Kumar
M. K. Sen
Shibdas Chakrabarti
Jagdish Chander Suri

References (17)
  1. Lundberg IE, Tjärnlund A, Bottai M, et al. 2017 European League Against Rheumatism/American College of Rheumatology classification criteria for adult and juvenile idiopathic inflammatory myopathies and their major subgroups. Ann Rheum Dis. 2017; 76(12): 1955–1964.
  2. Wells AU, Hirani N, Thoracic B, et al. Interstitial lung disease guideline: the British Thoracic Society in collaboration with the Thoracic Society of Australia and New Zealand and the Irish Thoracic Society. 1999.
  3. Cordier JF. Cavitary bronchiolitis obliterans organizing pneumonia. Eur Respir J. 1995; 8(11): 1822–1823.
  4. Naidich D, Machnicki S, Brown KK, Husta B, Ryu J, Sarosi G, et al. AC SC. Chest. 2018;.
  5. Miller ML, Flaherty KR, Curtis MR. Interstitial lung disease in dermatomyositis and polymyositis: Clinical manifestations and diagnosis. 2018(Dm): 5–12.
  6. Kalluri M, Oddis CV. Pulmonary manifestations of the idiopathic inflammatory myopathies. Clin Chest Med. 2010; 31(3): 501–512.
  7. Fathi M, Vikgren J, Boijsen M, et al. Interstitial lung disease in polymyositis and dermatomyositis: longitudinal evaluation by pulmonary function and radiology. Arthritis Rheum. 2008; 59(5): 677–685.
  8. Love LA, Leff RL, Fraser DD, et al. A new approach to the classification of idiopathic inflammatory myopathy: myositis-specific autoantibodies define useful homogeneous patient groups. Medicine (Baltimore). 1991; 70(6): 360–374.
  9. Marie I, Hachulla E, Chérin P, et al. Interstitial lung disease in polymyositis and dermatomyositis. Arthritis Rheum. 2002; 47(6): 614–622.
  10. Bartosiewicz M, Siemion-Szcześniak I, Sobiecka M, et al. [Interstitial lung disease in patients with polymyositis and dermatomyositis--report of three cases]. Pneumonol Alergol Pol. 2013; 81(6): 556–566.
  11. Douglas WW, Tazelaar HD, Hartman TE, et al. Polymyositis-dermatomyositis-associated interstitial lung disease. Am J Respir Crit Care Med. 2001; 164(7): 1182–1185.
  12. Koreeda Y, Higashimoto I, Yamamoto M, et al. Clinical and pathological findings of interstitial lung disease patients with anti-aminoacyl-tRNA synthetase autoantibodies. Intern Med. 2010; 49(5): 361–369.
  13. Organizing pneumonia: the many morphological faces. Eur Radiol. . 2002 ; 12(6): 1486–1496.
  14. Mehrian P, Doroudinia A, Rashti A, et al. High-resolution computed tomography findings in chronic eosinophilic vs. cryptogenic organising pneumonia. Int J Tuberc Lung Dis. 2017; 21(11): 1181–1186.
  15. Haro M, Vizcaya M, Texidó A, et al. Idiopathic bronchiolitis obliterans organizing pneumonia with multiple cavitary lung nodules. Eur Respir J. 1995; 8(11): 1975–1977.
  16. Heller I, Biner S, Isakov A, et al. TB or not TB: cavitary bronchiolitis obliterans organizing pneumonia mimicking pulmonary tuberculosis. Chest. 2001; 120(2): 674–678.
  17. Voloudaki AE, Bouros DE, Froudarakis ME, et al. CT features in two cases of bronchiolitis obliterans organizing pneumonia (BOOP). Acta Radiol. 1996; 37: 889–892.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Czasopismo Pneumonologia i Alergologia Polska dostęne jest również w Ikamed - księgarnia medyczna

Wydawcą serwisu jest "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl