Imaging Conference Cases
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Case No : 2
- Age/Sex 67 / F
- Case Title 67-year-old woman with known polymyositis / dermatomyositis, diabetes meditus Work up for thoracic involvment of PM/DM, cough and sputum
Discussion
Diagnosis With Brief Discussion
- Courtesy
- Hallym University College of Medicine, Hangang Sacred Heart Hospital, Korea
- Discussion
- Dermatomyositis & Polymyositis
“Muscular weakness”is a common dominator
* Three forms of thoracic involvement
1. Hypoventilation and respiratory failure (respiratory m.)
2. Interstitial pneumonitis
3. aspiration pneumonia (pharyngeal m.)
- Fraser & Muller & Pare
* Pulmonary disease in polymyositis/dermatomyositis : A clinicopathologic analysis of 65 autopsy cases.
Sx - dyspnea (31), cough (23), chest pain (6)
Autopsy
- bronchopneumonia (35)
- interstitial lung disease (27)
- pulmonary vasculitis (5)
( Lakhanpal S, et al, Ann Rheum Dis 46:23, 1985 )
- Keywords
- Lung, Infection, Viral infection,
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