[Recurrent bronchiolitis obliterans organizing pneumonia as first manifestation of polymyositis].
The case of an idiopathic polymyositis preceded by several episodes compatible with the diagnosis of bronchiolitis obliterans organizing pneumonia is herein reported. This kind of pulmonary affection in polymyositis can be simultaneous or later to the diagnosis of the systemic disease, but as the first manifestation is exceptional. In the case we report, paradoxically, when the diagnosis of polymyositis was made the patient had not clinical or radiographic bronchopulmonary affection. If the first clinical manifestation of an autoimmune disease like polymyositis can be an idiopathic bronchiolitis obliterans organizing pneumonia, we think that a prolonged follow up of these patients is necessary.
Servicio de Medicina Interna, Hospital Vall d'Hebron, Unidad Docente de la Universidad Autónoma, Barcelona.
C
C
Falga Tirado
S
S
Valero Rovira
E
E
Cucurull Canosa
P
P
Pérez Pemán
J
J
Ordi Ros
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D018549:Cryptogenic Organizing Pneumonia / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017285:Polymyositis / Q000150:complications*; D011241:Prednisone / Q000627:therapeutic use; D011859:Radiography; D012008:Recurrence
D000893:Anti-Inflammatory Agents; D011241:Prednisone
Bronquiolitis obliterante con neumonía organizativa recidivante como primera manifestación de una polimiositis.