A Case of Hypercapnic Respiratory Failurein a Patient with Eosinophilic Polymyositis.
10.4078/jkra.2007.14.2.166
- Author:
Jung Ah SHIN
1
;
Kyung Min PARK
;
Yong Jai PARK
;
Young Hyun KIM
;
Soon Seok KWON
;
Mi Sook SUNG
;
Jun Ki MIN
Author Information
1. Department of Internal Medicine, Holy Family Hospital,The Catholic University of Korea College of Medicine, Bucheon, Korea. rmin6403@hanmail.net
- Publication Type:Case Report
- Keywords:
Eosinophilic polymyositis (EM);
Hypercapnic respiratory failure
- MeSH:
Arthritis, Rheumatoid;
Biopsy;
Electromyography;
Eosinophilia-Myalgia Syndrome;
Eosinophils*;
Female;
Humans;
Hypereosinophilic Syndrome;
Magnetic Resonance Imaging;
Middle Aged;
Muscle, Skeletal;
Muscles;
Myositis;
Parasites;
Polymyositis*;
Prednisolone;
Respiration, Artificial;
Respiratory Insufficiency;
Respiratory Muscles;
Sarcoidosis
- From:The Journal of the Korean Rheumatism Association
2007;14(2):166-170
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Eosinophilic infiltration into skeletal muscles has been rarely reported in a variety of conditions such as parasite infection, sarcoidosis, rheumatoid arthritis, eosinophilia-myalgia syndrome, and idiopathic hypereosinophilic syndrome. Eosinophilic myositis (EM) is one of idiopathic inflammatory muscle diseases associated with muscle and/or blood eosiophilia. The case of EM complicated with hypercapnic respiratory failure has been extremely rarely reported. A 61-year-old woman was admitted with sudden-onset pain in both calves. She had elevated serum muscle enzymes and peripheral eosinophil count. Findings of electromyography were consistent with inflammatory myopathy. MRI showed diffuse hyperintensity of calf muscles on T2-weighted and enhanced T1 images. Muscle biopsy showed eosinophils' infiltration in the endomysium and perivascular area. During the diagnostic work-up, she presented with hypercapnic respiratory failure. She was successfully treated with mechanical ventilation and high doses of prednisolone. This case suggests EM can cause respiratory failure secondary to respiratory muscle involvement.
