[Anti-EJ antibody positive antisynthetase syndrome with pulmonary hypertention:a case report].

H Lin, F Sun, L Wang, S G Gong, Q H Zhao
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引用次数: 0

Abstract

Antisynthetase syndrome(ASS) is an entity among the immune inflammatory myopathies(IIM), which always affects lungs. Interstitial lung disease(ILD) is common in ASS, while pulmonary hypertention(PH)is rarely observed. In this paper, we reported a case of ASS with ILD and PH. Initially, we thought PH maybe associated with ILD. After we finished pulmonary function test and right heart catheterization, rheumatism immunity,and myositis antibody spectrum,we finally considered that anti EJ antibody positive ASS related ILD (EJ-ASS-FILD) had secondary type 4 PH (chronic pulmonary disease-related pulmonary arterial hypertension). This article summarizes the clinical characteristics, diagnostic methods, and treatment options of ASS related ILD combined with PH, hoping that clinical doctors can strengthen their understanding of this disease, avoid misclassification and treatment of this disease.

[抗ej抗体阳性抗合成酶综合征合并肺动脉高压1例]。
抗合成酶综合征(anti - synthestase syndrome, ASS)是免疫性炎症性肌病(immune inflammatory myopathy, IIM)中的一种,常累及肺部。间质性肺疾病(ILD)在ASS中很常见,而肺动脉高压(PH)很少观察到。在本文中,我们报告了一例ASS合并ILD和PH。最初,我们认为PH可能与ILD有关。在完成肺功能检查、右心导管置管、风湿免疫、肌炎抗体谱后,我们最终认为抗EJ抗体阳性的ASS相关ILD (EJ-ASS- ILD)为继发性4型PH(慢性肺病相关性肺动脉高压)。本文就ASS相关ILD合并PH的临床特点、诊断方法及治疗方案进行总结,希望临床医生加强对本病的认识,避免误诊误治。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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