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Dermatomyositis related interstitial lung disease

Case contributed by Prashant Mudgal
Diagnosis certain

Presentation

A known case of dermatomyositis presented with dry cough for 5 months.

Patient Data

Age: 30 years
Gender: Male

Bilaterally symmetrical reticular opacities with mild honeycoombing prominently seen in the subpleural basal and posterior regions. The pattern of fibrosis is similar to the pattern seen in usual interstitial pneumonia.

 

Case Discussion

The lung is the most common extra-muscular organ to be affected in dermatomyositis.

Approximately 40-50% patients with dermatomyositis suffer from its pulmonary complications, which include interstitial lung diseases, pneumonia, drug induced lung diseases and ventilatory muscle weakness.

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