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Dermatomyositis without Elevation of Creatine Kinase Presented as Bronchiolitis Obliterans Organizing Pneumonia

A case of dermatomyositis presented as bronchiolitis obliterans organizing pneumonia has been rarely reported. We describe a 46-year-old female patient with dermatomyositis without elevation of creatine kinase presented as bronchiolitis obliterans organizing pneumonia. She was treated with prednisol...

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Detalles Bibliográficos
Autores principales: Lee, Young Ho, Choi, Seong Jae, Ji, Jong Dae, Shim, Jae Jeong, Kang, Kyung Ho, Cho, Hyun Deuk, Kim, Han Kyeom, Song, Gwan Gyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Association of Internal Medicine 2000
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4531735/
https://www.ncbi.nlm.nih.gov/pubmed/10714098
http://dx.doi.org/10.3904/kjim.2000.15.1.85
Descripción
Sumario:A case of dermatomyositis presented as bronchiolitis obliterans organizing pneumonia has been rarely reported. We describe a 46-year-old female patient with dermatomyositis without elevation of creatine kinase presented as bronchiolitis obliterans organizing pneumonia. She was treated with prednisolone and azathioprine. Over a 2-year follow-up she has had no elevation of creatine kinase. The patient remains asymptomatic and has no medication for dermatomyositis and bronchiolitis obliterans organizing pneumonia two years after initial treatment. It has been suggested that the prognosis of dermatomyositis without creatine kinase elevation may be poor. Because the prognosis of bronchiolitis obliterans organizing pneumonia is generally believed to be good, we tentatively suggest that the normal value of creatine kinase in dermatomyositis does not always seem to herald a poor prognosis, an associated malignancy or severe interstitial lung disease.