Effective Administration of Rituximab in Anti-MDA5 Antibody–Positive Dermatomyositis with Rapidly Progressive Interstitial Lung Disease and Refractory Cutaneous Involvement: A Case Report and Literature Review

Joint Authors

Kishida, Dai
Ogawa, Yuka
Shimojima, Yasuhiro
Hayashi, Koichi
Sekijima, Yoshiki

Source

Case Reports in Rheumatology

Issue

Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2017-10-31

Country of Publication

Egypt

No. of Pages

6

Main Subjects

Diseases

Abstract EN

We describe the case of a 48-year-old man with dermatomyositis (DM) who demonstrated rapidly progressive interstitial lung disease (RP-ILD) and refractory cutaneous involvement together with high levels of anti-melanoma differentiation-associated gene 5 antibody (anti-MDA5-Ab).

Even after combination immunosuppressive therapy including a corticosteroid, cyclosporine A, and intravenous cyclophosphamide, his respiratory insufficiency and cutaneous involvement progressively worsened.

However, the administration of rituximab (RTX) resulted in clinical remission as well as a visible reduction in anti-MDA5-Ab levels, suggesting that RTX could be a useful remedy in cases refractory to conventional immunosuppressive agents, especially those of RP-ILD related to anti-MDA5-Ab–positive DM.

American Psychological Association (APA)

Ogawa, Yuka& Kishida, Dai& Shimojima, Yasuhiro& Hayashi, Koichi& Sekijima, Yoshiki. 2017. Effective Administration of Rituximab in Anti-MDA5 Antibody–Positive Dermatomyositis with Rapidly Progressive Interstitial Lung Disease and Refractory Cutaneous Involvement: A Case Report and Literature Review. Case Reports in Rheumatology،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1149970

Modern Language Association (MLA)

Ogawa, Yuka…[et al.]. Effective Administration of Rituximab in Anti-MDA5 Antibody–Positive Dermatomyositis with Rapidly Progressive Interstitial Lung Disease and Refractory Cutaneous Involvement: A Case Report and Literature Review. Case Reports in Rheumatology No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1149970

American Medical Association (AMA)

Ogawa, Yuka& Kishida, Dai& Shimojima, Yasuhiro& Hayashi, Koichi& Sekijima, Yoshiki. Effective Administration of Rituximab in Anti-MDA5 Antibody–Positive Dermatomyositis with Rapidly Progressive Interstitial Lung Disease and Refractory Cutaneous Involvement: A Case Report and Literature Review. Case Reports in Rheumatology. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1149970

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1149970