[Non invasive mechanical ventilation in intensive care unit in patient with respiratory failure as the first manifestation of dermatomyositis].
Polymiositis and dermatomyositis are idiopathic inflammatory myositis with several respiratory complications but the acute failure respiratory is uncommon, and in the more severity types needs noninvasive mechanical ventilation. The case report a dermatomyositis patient who needed intensive care to failure respiratory due to muscle weakness who did not respond to corticoids -with pulsed prednisolone- in combination with another immunosuppressive agent with methotrexate, and after this with cyclofosfamide and cyclosporin. Along her stay in ICU is used a succesfully treatment with noninvasive mechanical ventilation and added high dose immunoglobulin intravenous, although there is a controversial about its use, was an effective treatment due to drug resistant dermatomyositis front to immunosuppression.
Obón Azuara
B
B
Servicio de Medicina Intensiva, Hospital Obispo Polanco, Teruel, Spain. blankaobona@hotmail.com
Gutiérrez Cía
I
I
Sánchez Polo
C
C
D000328:Adult; D003882:Dermatomyositis / Q000150:complications*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy*