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Combined usage of extracorporeal membrane oxygenation and double filtration plasmapheresis in amyopathic dermatomyositis patient with severe interstitial lung disease: A case report.

Abstract We report a man with amyopathic dermatomyositis (ADM) complicated by severe interstitial lung disease (ILD) received extracorporeal membrane oxygenation (ECMO) in combination with double filtration plasmapheresis (DFPP). This is the first report of the utility of ECMO in combination with DFPP in ADM related ILD in adults.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29851838
OWN - NLM
STAT- MEDLINE
DCOM- 20180612
LR  - 20180612
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 22
DP  - 2018 Jun
TI  - Combined usage of extracorporeal membrane oxygenation and double filtration
      plasmapheresis in amyopathic dermatomyositis patient with severe interstitial
      lung disease: A case report.
PG  - e10946
LID - 10.1097/MD.0000000000010946 [doi]
AB  - RATIONALE: We report a man with amyopathic dermatomyositis (ADM) complicated by
      severe interstitial lung disease (ILD) received extracorporeal membrane
      oxygenation (ECMO) in combination with double filtration plasmapheresis (DFPP).
      This is the first report of the utility of ECMO in combination with DFPP in ADM
      related ILD in adults. PATIENT CONCERNS: A 48-year-old man who was previously
      healthy had a 2-month history of cough and shortness of breath, which aggravated 
      in 5 days. DIAGNOSES: Amyopathic dermatomyositis and complicated by severe
      interstitial lung disease. INTERVENTIONS: ECMO was giving when the patient
      suffered acute respiratory failure. Though corticosteroids was giving, primary
      disease was still developing with relapses of spontaneous pneumomediastinum and
      pneumothorax. Then, DFPP treatment was initiated. OUTCOME: After the treatments
      above, the patient's clinical condition improved with the reduction of bilateral 
      interstitial infiltrates and improvement of lung compliance. Unfortunately, he
      discontinued the treatment because of the financial problem. LESSONS: When get a 
      rapid progressive interstitial lung disease for no apparent reason, amyopathic
      dermatomyositis should be considered, especially with suspected skin lesions.
      ECMO, in combination with DFPP, should be considered as a supportive therapy and 
      initiated early in patients in acute respiratory failure secondary to ADM-ILD.
      Prompt initiation of DFPP in dermatomyositis patients with ILD might help reduce 
      the occurrence of spontaneous pneumomediastinum or pneumothorax.
FAU - Huang, Jiequn
AU  - Huang J
AD  - Department of ICU, Shunde Hospital, Southern Medical University, Foshan
      Guangdong, China.
FAU - Liu, Changzhi
AU  - Liu C
FAU - Zhu, Ruiqiu
AU  - Zhu R
FAU - Su, Yongpeng
AU  - Su Y
FAU - Lin, Jingcheng
AU  - Lin J
FAU - Lu, Jianhai
AU  - Lu J
FAU - Wen, Shuchao
AU  - Wen S
FAU - Zuo, Liuer
AU  - Zuo L
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Glucocorticoids)
RN  - Amyopathic dermatomyositis
SB  - AIM
SB  - IM
MH  - Combined Modality Therapy
MH  - Dermatomyositis/*complications/therapy
MH  - Extracorporeal Membrane Oxygenation/*methods
MH  - Glucocorticoids/therapeutic use
MH  - Humans
MH  - Lung Diseases, Interstitial/etiology/*therapy
MH  - Male
MH  - Mediastinal Emphysema/etiology/therapy
MH  - Middle Aged
MH  - Plasmapheresis/*methods
MH  - Pneumothorax/etiology/therapy
EDAT- 2018/06/01 06:00
MHDA- 2018/06/13 06:00
CRDT- 2018/06/01 06:00
PHST- 2018/06/01 06:00 [entrez]
PHST- 2018/06/01 06:00 [pubmed]
PHST- 2018/06/13 06:00 [medline]
AID - 10.1097/MD.0000000000010946 [doi]
AID - 00005792-201806010-00066 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jun;97(22):e10946. doi: 10.1097/MD.0000000000010946.