Antisynthetases syndrome associated with right heart failure

Joint, Bone, Spine : Revue Du Rhumatisme
Latifa TahiriMaxime Dougados

Abstract

Cardiac involvement is a complication of end stage polymyositis with left heart insufficiency reported to be the most frequent manifestation. We here describe an unusual clinical presentation of antisynthetases syndrome, beginning with right-sided cardiomyopathy associated with right heart failure. A 26 year-old Caucasian male experienced a 6-month clinical course of polyarthritis, fever, sweats, and myalgia. Laboratory studies showed elevated C reactive protein, elevated sedimentation rate, and myolysis associated with anti SSA and anti JO1 antibodies. Electromyography showed a myopathic pattern. Muscle biopsy confirmed the diagnosis of polymyositis. Chest X ray, chest scan, and cardiac echography were normal. One week after hospital admission, the patient developed acute right heart insufficiency, and magnetic resonance imaging showed a right ventricular myocarditis with myocardial inflammatory thickening. Treatment with corticosteroids rapidly improved both symptoms and biological abnormalities.

References

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Nov 18, 2006·Joint, Bone, Spine : Revue Du Rhumatisme·Christelle SordetJean Sibilia
Nov 23, 2006·Journal of the American College of Cardiology·Hadi N SkouriLeslie T Cooper

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Citations

Aug 2, 2014·Journal of Cardiac Failure·Kavita SharmaSammy Zakaria
Oct 1, 2010·Current Opinion in Rheumatology

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