Fatal Pneumomediastinum in Dermatomyositis without Creatine Kinase Elevation.

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概要

• 論文の詳細を見る

• A 41-year-old woman developed fatal pneumomediastinum in the course of dermatomyositis. One characteristic feature of this patient was the relatively mild myositis with slight elevation of serum creatine kinase. In a literature review, some of the patients with dermatomyositis, but not polymyositis, with a very slight elevation of serum creatine kinase tended to develop spontaneous pneumomediastinum during corticosteroid therapy. Since pneumomediastinum is a highly fatal complication in patients with dermatomyositis, only slight elevation of creatine kinase could be a marker for poor prognosis. Thus, mild/minimal myositis in patients with dermatomyositis should be carefully observed irrespective of corticosteroid therapy.(Internal Medicine 32: 643-647, 1993)

• 社団法人　日本内科学会の論文

著者

• Kashiwazaki Sadao

  The Institute Of Rheumatology Tokyo Women's Medical College

• MATSUDA Yuko

  the Department of Internal Medicine, Mikanagi Gotanda Hospital

• TOMII Masakuni

  the Department of Internal Medicine, Mikanagi Gotanda Hospital

関連論文

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• Adult Still's Disease with Myocarditis and Peritonitis.
• Fatal Pneumomediastinum in Dermatomyositis without Creatine Kinase Elevation.
• Sjögren''s Syndrome in One of Two Sisters with Idiopathic Renal Hypouricemia
• Mixed Connective Tissue Disease Associated with Protein Losing Enteropathy: Successful Treatment with Intravenous Cyclophosphamide Therapy.

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