Keywords
Enfermedad colágeno
Autoinmune
Miositis
Neumonía intersticial Dermatomyositis
Collagen disease
Autoimmune
Myositis
Interstitial pneumonia
How to Cite
Abstract
Dermatomyositis is an autoimmune disease that presents with proximal muscle weakness and characteristic skin lesions. Thoracic involvement is common and recognized three patterns of clinical presentation (respiratory failure due to respiratory muscle weakness, interstitial pneumonia and aspiration pneumonia) and three histopathologic patterns (usual interstitial or nonspecific pneumonia, diffuse alveolar damage and cryptogenic organizing pneumonia). Pulmonary manifestations in CT are diverse and depend on the type of lung involvement, including areas of consolidation or ground glass, septal thickening, to areas of honeycombing, in advanced cases
References
Kim E, Lee K, Fohkoh T, y cols. Intersticial Lung Diseases Associated with Collagen Vascular Diseases: Radiologic and Histopathologic Findings. RadioGraphics 2002; 22:S151-S165. https://doi.org/10.1148/radiographics.22.suppl_1.g02oc04s151
Schwarz MI. The Lung in Polymyositis. Clin Chest Med 1998; 19:701-702. https://doi.org/10.1016/S0272-5231(05)70111-8
Dalakas MC, Hohlfeld R. Polymyositisand dermatomyositis. Lancet 2003; 362(9388):971-982. https://doi.org/10.1016/S0140-6736(03)14368-1
Capobianco J, Grimberg A, Thompson B, et al. Thoracic Manifestations of Collagen Vascular Diseases. RadioGraphics 2012; 32:33-50. https://doi.org/10.1148/rg.321105058
Tansey D, Wells AU, Colby TV, et al. Variations in histological patterns of interstitial pneumonia between connective tissue disorders and their relationship to prognosis. Histophatology 2004; 44(6):585- 596. https://doi.org/10.1111/j.1365-2559.2004.01896.x
Douglas WW, Tazelaar HD, Hartman TE, et al. Polymyositis-dermatomyositis-associated interstitial lung diseases. Am J Resp Crit Care Med 2001;164(7):1182-1185. https://doi.org/10.1164/ajrccm.164.7.2103110
Akira M, Hara H, Sakatani M. Intersticial Lung Disease in Association with Polymyositis-Dermatomyositis: Long-term Follow-up CT Evaluation in Seven Patients. Radiology 1999; 210:333-338. https://doi.org/10.1148/radiology.210.2.r99ja15333
Tazelaar HD, Viggiano RW, Pickersgill J, Colby TV. Intersticial Lung Disease Polymyositis and Dermatomyositis: Clinical Features and Prognosis as Correlated with Histologic Findings. Am Rev Respir Dis 1990; 141:727-733. https://doi.org/10.1164/ajrccm/141.3.727
Takizawa H, Hidaka N, Akiyama K. Clinicopathological studies on intersticial lung disease in polymyositis-dermatomyositis. Nihon Kyobu Shikkan Gakkai Zasshi 1985; 23:528-536.
Polverosi R, Maffesanti M, Dalpiaz G. Organizing pneumonia: typical and atypical HRCT patterns. Radiol Med (Torino) 2006; 111(2):202-212. https://doi.org/10.1007/s11547-006-0021-8
Voloudaki AE, Bouros DE, Froudarakis ME, Dat- seris GE, Apostolaki EG, Gourtsoyiannis NC. Cres- centic and ring-shaped opacities: CT features in two cases of bronchiolitis obliterans organizing pneumo- nia (BOOP). Acta Radiol 1996; 37(6):889-892. https://doi.org/10.3109/02841859609175463
Hill CL, Zhang Y, Sigurgeirsson B, et al. Frequency of specific cancer types in dermatomyositis and polymyositis: a population-based study. Lancet 2001; 357(9250):96-100. https://doi.org/10.1016/S0140-6736(00)03540-6
Ikezoe J, Johkoh T, Kohno N, y cols. High-resolution CT findings of lung disease in patients with polymyositis and dermatomyositis. J Thorac Imaging 1996; 11:250-259. https://doi.org/10.1097/00005382-199623000-00002
Mino M, Noma S, Taguchi Y et al. Pulmonary envolvement in polymyositis and dermatomyositis: sequential evaluation with CT. AJR Am J Roentgenol 1997; 169:83-87. https://doi.org/10.2214/ajr.169.1.9207505
Webb W, Müller N, Naidich D. Alta Resolución en TC de Alta Resolución. Marban libros, S.L.Tercera edición. 2003