Acute Respiratory Distress Syndrome as the Initial Clinical Manifestation of an Antisynthetase Syndrome.
10.4046/trd.2016.79.3.188
- Author:
Seo Hyun KIM
1
;
I Nae PARK
Author Information
1. Department of Internal Medicine, Inje University Seoul Paik Hospital, Seoul, Korea. eanee@hanmail.net
- Publication Type:Case Report
- Keywords:
Respiratory Distress Syndrome, Adult;
Immunoglobulins;
Antisynthetase Syndrome
- MeSH:
Adrenal Cortex Hormones;
Arthritis;
Dermatomyositis;
Female;
Fever;
Humans;
Immunoglobulins;
Ligases;
Lung Diseases;
Lung Diseases, Interstitial;
Middle Aged;
Myositis;
Polymyositis;
Raynaud Disease;
Respiratory Distress Syndrome, Adult*;
RNA;
Steroids
- From:Tuberculosis and Respiratory Diseases
2016;79(3):188-192
- CountryRepublic of Korea
- Language:English
-
Abstract:
Antisynthetase syndrome has been recognized as an important cause of autoimmune inflammatory myopathy in a subset of patients with polymyositis and dermatomyositis. It is associated with serum antibody to aminoacyl-transfer RNA synthetases and is characterized by a constellation of manifestations, including fever, myositis, interstitial lung disease, mechanic's hand-like cutaneous involvement, Raynaud phenomenon, and polyarthritis. Lung disease is the presenting feature in 50% of the cases. We report a case of a 60-year-old female with acute respiratory distress syndrome (ARDS), which later proved to be an unexpected and initial manifestation of anti-Jo-1 antibody-positive antisynthetase syndrome. The present case showed resolution of ARDS after treatment with high-dose corticosteroids. Given that steroids are not greatly beneficial in the treatment of ARDS, it is likely that the improvement of the respiratory symptoms in this patient also resulted from the prompt suppression of the inflammatory systemic response by corticosteroids.
