Clinical characteristics of dermatomyosits/polymyositis associated interstitial lung disease according to the autoantibody.
Tomoo Kishaba,Rita L. McGill,Yuichiro Nei,Sachi Ibuki,Masashi Momose,kenta Nishiyama,Hiroaki Nagano,Shin Yamashiro +7 more
TLDR
ILD patients with anti ARS antibody had intense inflammation, but reversible fibrosis and good prognosis, on the other hand, anti MDA-5 antibody positive ILD patients had shorter survival.Abstract:
BACKGROUND Dermatomyositis (DM) and polymyositis (PM) often have association with interstitial lung disease (ILD) which have disease specific autoantibody. METHODOLOGY We reviewed medical records of DM/PM associated ILD from January 2000 to December 2017 according to the autoantibody. RESULT We identified 52 patients, of whom 30 were antibody negative, 18 had anti aminoacyl-tRNA synthetases (ARS) antibodies and 4 had anti melanoma differentiation-associated gene (MDA)-5 antibody. In high resolution computed tomography (HRCT) of the chest, area of ground glass opacity (GGO), consolidation, and lung tip consolidation were more extensive in anti MDA-5 antibody positive patients (p=0.051, p=0.026, and p=0.027, respectively). Among laboratory findings, GOT had strong correlations with CPK (r=0.889, p < 0.001), and LDH (r=0.910, p < 0.001). Among roentgenographic findings, there were moderate correlations between GGO and consolidation (r=0.668, p < 0.001), and between reticular shadow and traction bronchiectasis (p=0.633, p < 0.001). ILD patients with anti MDA-5 antibodies had decreased survival (1.00 vs 84.3, 22.9 months, p < 0.001). CONCLUSION ILD patients with anti ARS antibody had intense inflammation, but reversible fibrosis and good prognosis. On the other hand, anti MDA-5 antibody positive ILD patients had shorter survival. Extent of parenchymal shadow and serum GOT were useful indicator of disease activity of PM/DM associated ILD patients in our cohort. J. Med. Invest. 65:251-257, August, 2018.read more
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Consensus document for the selection of lung transplant candidates: An update from the International Society for Heart and Lung Transplantation.
Lorriana E. Leard,Are Martin Holm,Maryam Valapour,Allan R. Glanville,Sandeep Attawar,Meghan Aversa,Silvia Vidal Campos,Lillian M. Christon,Marcelo Cypel,Göran Dellgren,Matthew G. Hartwig,Siddhartha G. Kapnadak,Nicholas A. Kolaitis,Robert M. Kotloff,Caroline M. Patterson,Oksana A. Shlobin,Patrick Smith,Amparo Solé,Melinda Solomon,David Weill,Marlies S. Wijsenbeek,Brigitte W. M. Willemse,Selim M. Arcasoy,Kathleen J. Ramos +23 more
TL;DR: The International Society for Heart and Lung Transplantation appointed an international group of members to review the literature, to consider recent advances in the management of advanced lung diseases, and to update prior consensus documents on the selection of lung transplant candidates as mentioned in this paper.
Journal ArticleDOI
Interstitial Lung Disease in Polymyositis and Dermatomyositis.
Kathryn Long,Sonye K. Danoff +1 more
TL;DR: The idiopathic inflammatory myopathies, including polymyositis and dermatomyositis, are autoimmune connective tissue diseases with variable degrees of muscle inflammation and systemic involvement and the addition of other immunosuppressive therapy is typically necessary to achieve disease control.
Journal ArticleDOI
Predictors and Mortality of Rapidly Progressive Interstitial Lung Disease in Patients With Idiopathic Inflammatory Myopathy: A Series of 474 Patients.
Yuhui Li,Xiaojuan Gao,Yimin Li,Xiaohui Jia,Xuewu Zhang,Yan Xu,Yuzhou Gan,Shiming Li,Renli Chen,Jing He,Xiaolin Sun +10 more
TL;DR: This study shows that RP-ILD results in increased mortality in IIM, and identifies anti-MDA5 positivity and a lower lymphocyte ratio in BALF might be the predictive factor of mortality due to RP-ILE.
Journal ArticleDOI
Associated factors with interstitial lung disease and health-related quality of life in Chinese patients with primary Sjögren's syndrome.
TL;DR: ILD was very common in pSS and had a significant negative impact on the quality of life of patients, so it is of great significance to strengthen the early intervention and drug treatment of pSS patients to prevent ILD and improve their QoL.
Journal Article
One year in review 2018: idiopathic inflammatory myopathies.
Emiliano Marasco,E. Cioffi,Laura Cometi,Valentina Valentini,Giovanni Zanframundo,Rossella Neri,Lorenzo Cavagna,Simone Barsotti +7 more
TL;DR: The aim of this review is to summarise the most relevant literature contributions published over the last year on the pathogenesis, serology, diagnosis and treatment of IIMs.
References
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Journal ArticleDOI
Polymyositis and dermatomyositis (first of two parts)
Anthony Bohan,James B. Peter +1 more
TL;DR: (First of Two Parts)
Journal ArticleDOI
Autoantibodies to a 140-kd polypeptide, CADM-140, in Japanese patients with clinically amyopathic dermatomyositis
Shinji Sato,Michito Hirakata,Masataka Kuwana,Akira Suwa,Shinichi Inada,Tsuneyo Mimori,Takeji Nishikawa,Chester V. Oddis,Yasuo Ikeda +8 more
TL;DR: Results indicate that the presence of anti-CADM-140 autoantibodies may be a novel marker for C-ADM, and further attention should be directed to the detection of rapidly progressive ILD in those patients with anti- CADM.
Journal ArticleDOI
Polymyositis-dermatomyositis-associated interstitial lung disease.
William W. Douglas,Henry D. Tazelaar,Thomas E. Hartman,Robert P. Hartman,Paul A. Decker,Darrell R. Schroeder,Jay H. Ryu +6 more
TL;DR: Survival was significantly better than that observed for historical control subjects with idiopathic UIP, and was more consistent with survival previously reported in idiopathsic NSIP, while there was no difference in survival between Jo-1 positive and Jo- 1 negative groups.
Journal ArticleDOI
Would a new name hasten the acceptance of amyopathic dermatomyositis (dermatomyositis siné myositis) as a distinctive subset within the idiopathic inflammatory dermatomyopathies spectrum of clinical illness
TL;DR: The Master said, "If names are not correct, language is not in accordance with the truth of things, affairs cannot be carried out to success, therefore a superior man considers it necessary that the names he uses be spoken appropriately, what the superior man requires, is just that in his words there may be nothing incorrect as mentioned in this paper.
Journal ArticleDOI
A systematic review of adult-onset clinically amyopathic dermatomyositis (dermatomyositis siné myositis): a missing link within the spectrum of the idiopathic inflammatory myopathies.
TL;DR: A systematic review of the published literature on adult-onset CADM suggests that the CADM subphenotype is more common than has been thought previously and that such patients may comprise a relatively high proportion of DM patients followed by dermatologists.
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