Recurrent episodes of dermatomyositis-associated pneumonitis masquerading as hypersensitivity pneumonitis

Mt Sinai J Med. 2006 Oct;73(6):895-7.

Abstract

This case report describes a unique presentation of dermatomyositis-associated pneumonitis. A 44-year-old man presented with repeated episodes of fever, dyspnea, and hemoptysis accompanied with pulmonary infiltrates, on chest CT scan. Hypersensitivity pneumonitis was suspected. Further work-up showed clinical and serologic evidence of dermatomyositis-associated pneumonitis. The patient was treated with oral prednisone and azathioprine. The subject of dermatomyositis-associated pneumonitis is discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Alveolitis, Extrinsic Allergic / diagnosis*
  • Azathioprine / therapeutic use
  • Biopsy
  • Dermatomyositis / complications
  • Dermatomyositis / diagnosis*
  • Dermatomyositis / drug therapy
  • Diagnosis, Differential
  • Humans
  • Male
  • Pneumonia / diagnosis*
  • Pneumonia / drug therapy
  • Pneumonia / etiology
  • Prednisone / therapeutic use
  • Recurrence
  • Tomography, X-Ray Computed

Substances

  • Azathioprine
  • Prednisone