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Reversible platypnea-orthodeoxia syndrome induced by rapidly progressive interstitial pneumonia in a patient with polymyositis
We report a case of platypnea-orthodeoxia that developed in a 64-year-old Japanese woman during an episode of rapidly progressive interstitial pneumonia with polymyositis. Pulmonary infiltrates were predominant in the bilateral lower lobes. The patient was treated successfully with early administrat...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BlackWell Publishing Ltd
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4184736/ https://www.ncbi.nlm.nih.gov/pubmed/25473579 http://dx.doi.org/10.1002/rcr2.59 |
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author | Yamakawa, Hideaki Yoshida, Masahiro Baba, Yuri Ishikawa, Takeo Takagi, Masamichi Kuwano, Kazuyoshi |
author_facet | Yamakawa, Hideaki Yoshida, Masahiro Baba, Yuri Ishikawa, Takeo Takagi, Masamichi Kuwano, Kazuyoshi |
author_sort | Yamakawa, Hideaki |
collection | PubMed |
description | We report a case of platypnea-orthodeoxia that developed in a 64-year-old Japanese woman during an episode of rapidly progressive interstitial pneumonia with polymyositis. Pulmonary infiltrates were predominant in the bilateral lower lobes. The patient was treated successfully with early administration of immunosuppressive therapies and polymyxin B-immobilized fiber column-direct hemoperfusion, and her platypnea-orthodeoxia improved with resolution of the underlying parenchymal lung disease. Reports of platypnea-orthodeoxia syndrome with interstitial pneumonia are extremely rare. The recognition that platypnea-orthodeoxia syndrome may occur in multiple disease states, including interstitial pneumonia, is crucial to the understanding of this perplexing disorder. |
format | Online Article Text |
id | pubmed-4184736 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BlackWell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-41847362014-12-03 Reversible platypnea-orthodeoxia syndrome induced by rapidly progressive interstitial pneumonia in a patient with polymyositis Yamakawa, Hideaki Yoshida, Masahiro Baba, Yuri Ishikawa, Takeo Takagi, Masamichi Kuwano, Kazuyoshi Respirol Case Rep Case Reports We report a case of platypnea-orthodeoxia that developed in a 64-year-old Japanese woman during an episode of rapidly progressive interstitial pneumonia with polymyositis. Pulmonary infiltrates were predominant in the bilateral lower lobes. The patient was treated successfully with early administration of immunosuppressive therapies and polymyxin B-immobilized fiber column-direct hemoperfusion, and her platypnea-orthodeoxia improved with resolution of the underlying parenchymal lung disease. Reports of platypnea-orthodeoxia syndrome with interstitial pneumonia are extremely rare. The recognition that platypnea-orthodeoxia syndrome may occur in multiple disease states, including interstitial pneumonia, is crucial to the understanding of this perplexing disorder. BlackWell Publishing Ltd 2014-09 2014-06-04 /pmc/articles/PMC4184736/ /pubmed/25473579 http://dx.doi.org/10.1002/rcr2.59 Text en © 2014 The Authors. Respirology Case Reports published by John Wiley & Sons Ltd on behalf of The Asian Pacific Society of Respirology. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Yamakawa, Hideaki Yoshida, Masahiro Baba, Yuri Ishikawa, Takeo Takagi, Masamichi Kuwano, Kazuyoshi Reversible platypnea-orthodeoxia syndrome induced by rapidly progressive interstitial pneumonia in a patient with polymyositis |
title | Reversible platypnea-orthodeoxia syndrome induced by rapidly progressive interstitial pneumonia in a patient with polymyositis |
title_full | Reversible platypnea-orthodeoxia syndrome induced by rapidly progressive interstitial pneumonia in a patient with polymyositis |
title_fullStr | Reversible platypnea-orthodeoxia syndrome induced by rapidly progressive interstitial pneumonia in a patient with polymyositis |
title_full_unstemmed | Reversible platypnea-orthodeoxia syndrome induced by rapidly progressive interstitial pneumonia in a patient with polymyositis |
title_short | Reversible platypnea-orthodeoxia syndrome induced by rapidly progressive interstitial pneumonia in a patient with polymyositis |
title_sort | reversible platypnea-orthodeoxia syndrome induced by rapidly progressive interstitial pneumonia in a patient with polymyositis |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4184736/ https://www.ncbi.nlm.nih.gov/pubmed/25473579 http://dx.doi.org/10.1002/rcr2.59 |
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