Spontaneous pneumomediastinum and dermatomyositis may be a not so rare association: report of a case and review of the literature.

Clinical Rheumatology
Fabricio de Souza NevesCláudia Tereza Lobato Borges

Abstract

One patient with dermatomyositis (DM) who developed spontaneous pneumomediastinum (SPnM) is described. A review of 15 previously reported cases shows that this is a complication of DM but not of polymyositis. It occurs in young patients with recent onset of disease characterized by cutaneous vasculopathy, and patients treated with immunosuppressive drugs have, in general, better outcomes. We suggest that the onset of SPnM in DM patients must alert to possible vasculitic activity and that immunosuppressive agents with progressive tapering of corticosteroids are part of the most reasonable approach in these cases.

References

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Citations

Feb 27, 2009·Rheumatology International·Karim Z MasrouhaImad Uthman
Jan 1, 2010·Journal of Bronchology & Interventional Pulmonology·Jenny S MachucaGilda-Diaz Fuentes
Jan 1, 2010·BMJ Case Reports·AlaEldin H Ahmed, Elrasheid A Awouda
Mar 1, 2009·Reumatología clinica·Juan Ramón de DiosJose Luis Lobo
Jan 1, 2009·Arthritis and Rheumatism·Benoit Le GoffXavier Puéchal
Nov 12, 2015·Case Reports in Rheumatology·Aslıhan Gürün KayaÇetin Atasoy
Jun 20, 2018·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Federica De GiacomiJay H Ryu
Oct 23, 2012·International Journal of Rheumatic Diseases·Shivani DograKushaljit S Sodhi
Dec 6, 2019·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Karen Isabel Vega-Villanueva, Alfredo Berrocal-Kasay

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