Progrediente Luftnot und Schwäche bei einer 61-jährigen Patientin
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Progrediente Luftnot und Schwäche bei einer 61-jährigen Patientin. / Mahmud, M; Schnoor, U; Steinmetz, O M.
In: INTERNIST, Vol. 60, No. 2, 02.2019, p. 186-192.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Progrediente Luftnot und Schwäche bei einer 61-jährigen Patientin
AU - Mahmud, M
AU - Schnoor, U
AU - Steinmetz, O M
PY - 2019/2
Y1 - 2019/2
N2 - A 61-year-old woman was admitted with a suspected diagnosis of atypical pneumonia. Extended diagnostic measures revealed interstitial lung disease (ILD), polyserositis, polyarthritis and myopathy. With detection of an antibody against PL-7 (anti-threonyl-transfer-RNA synthetase) the diagnosis of anti-synthetase syndrome (ASS) was established. ASS are rare inflammatory myopathies which frequently present as multisystemic diseases with severe organ involvement. An immunosuppressive regimen with steroids and cyclophosphamide led to successful induction of disease remission. Maintenance therapy will be conducted with azathioprine. ASS should always be considered in the differential diagnosis of myopathies and ILDs.
AB - A 61-year-old woman was admitted with a suspected diagnosis of atypical pneumonia. Extended diagnostic measures revealed interstitial lung disease (ILD), polyserositis, polyarthritis and myopathy. With detection of an antibody against PL-7 (anti-threonyl-transfer-RNA synthetase) the diagnosis of anti-synthetase syndrome (ASS) was established. ASS are rare inflammatory myopathies which frequently present as multisystemic diseases with severe organ involvement. An immunosuppressive regimen with steroids and cyclophosphamide led to successful induction of disease remission. Maintenance therapy will be conducted with azathioprine. ASS should always be considered in the differential diagnosis of myopathies and ILDs.
KW - Amino Acyl-tRNA Synthetases/immunology
KW - Antibodies, Antinuclear
KW - Autoantibodies/immunology
KW - Azathioprine/therapeutic use
KW - Combined Modality Therapy
KW - Cyclophosphamide/therapeutic use
KW - Female
KW - Humans
KW - Immunosuppressive Agents/therapeutic use
KW - Lung/pathology
KW - Lung Diseases, Interstitial/diagnosis
KW - Methylprednisolone/therapeutic use
KW - Middle Aged
KW - Muscle, Skeletal/physiopathology
KW - Myositis/diagnosis
KW - Respiratory Insufficiency/diagnosis
KW - Treatment Outcome
U2 - 10.1007/s00108-018-0490-6
DO - 10.1007/s00108-018-0490-6
M3 - SCORING: Zeitschriftenaufsatz
C2 - 30218200
VL - 60
SP - 186
EP - 192
JO - INTERNIST
JF - INTERNIST
SN - 0020-9554
IS - 2
ER -