Steroid refractory interstitial pneumonitis in a patient with juvenile dermatomyositis.
Interstitial pneumonitis is a severe complication of juvenile dermatomyositis. We report a 4-year-old girl with juvenile dermatomyositis. Coughing, shortness of breath, and general malaise developed during steroid treatment. The histology of her lung biopsy is compatible with interstitial pneumonitis. Aggressive treatment including intravenous methylprednisolone pulse therapy, intravenous immunoglobulin, and oral cyclosporin all failed. Creatinine phosphokinase level was within the normal range during the disease course. The clinical features are discussed and the importance of a differential diagnosis of interstitial pneumonitis in patients with juvenile dermatomyositis is emphasized.
Lin
Yu-Chuan
YC
Taipei Municipal Women's and Children's Hospital, Taipei, Taiwan, ROC.
Yang
Yao-Hsu
YH
Lin
Yu-Tsan
YT
Chiang
Bor-Luen
BL
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D016572:Cyclosporine / Q000008:administration & dosage; D003882:Dermatomyositis / Q000150:complications*; D005260:Female; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D008775:Methylprednisolone / Q000627:therapeutic use; D020551:Pulse Therapy, Drug; D011859:Radiography; D017211:Treatment Failure
D000893:Anti-Inflammatory Agents; D016572:Cyclosporine; D008775:Methylprednisolone