Blood purification in two patients with clinically amyopathic dermatomyositis associated with interstitial lung disease with anti-melanoma differentiation-associated gene-5 antibody (MDA-5)

Patients of clinically amyopathic dermatomyositis associated with rapidly progressive interstitial pneumonia (CADM-RFIP) with positive anti-MDA5 antibody usually presents rapid deterioration and traditional therapy such as cyclophosphamide combined with high-dose prednisone pulse therapy shows no cl...

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Main Authors: Han-yu Shi, Xue-ren Li, Lu-qing Wei, Shou-chun Peng
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007119301728
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author Han-yu Shi
Xue-ren Li
Lu-qing Wei
Shou-chun Peng
author_facet Han-yu Shi
Xue-ren Li
Lu-qing Wei
Shou-chun Peng
author_sort Han-yu Shi
collection DOAJ
description Patients of clinically amyopathic dermatomyositis associated with rapidly progressive interstitial pneumonia (CADM-RFIP) with positive anti-MDA5 antibody usually presents rapid deterioration and traditional therapy such as cyclophosphamide combined with high-dose prednisone pulse therapy shows no clear benefit at whiles. However, blood purification combined with traditional therapy works according to the literature. We herein report two CADM-RFIP patients administered with DNA immunoadsorption combined with traditional therapy and then reviewed the literature of blood purification in CADM-RFIP patients at home and abroad to date. We emphasize blood purification such as DNA immunoadsorption could apply in the early stage of CADM-RFIP, which can decrease inflammation and allow us more time to control the condition better. Keywords: anti-MDA5 body, CADM, DNA immunoadsorption, Interstitial lung disease
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spelling doaj.art-b6a740ebf61e4c7fa7a48349769ea05a2022-12-22T01:14:43ZengElsevierRespiratory Medicine Case Reports2213-00712019-01-0128Blood purification in two patients with clinically amyopathic dermatomyositis associated with interstitial lung disease with anti-melanoma differentiation-associated gene-5 antibody (MDA-5)Han-yu Shi0Xue-ren Li1Lu-qing Wei2Shou-chun Peng3Department of Respiratory and Critical Care Medicine, Special Medical Center of Chinese People's Armed Police Force, Tianjin, 300309, China; Logistics University of Chinese People's Armed Police Force, Tianjin, 300309, ChinaDepartment of Respiratory and Critical Care Medicine, Special Medical Center of Chinese People's Armed Police Force, Tianjin, 300309, ChinaDepartment of Respiratory and Critical Care Medicine, Special Medical Center of Chinese People's Armed Police Force, Tianjin, 300309, China; Corresponding author.Department of Respiratory and Critical Care Medicine, Special Medical Center of Chinese People's Armed Police Force, Tianjin, 300309, China; Corresponding author.Patients of clinically amyopathic dermatomyositis associated with rapidly progressive interstitial pneumonia (CADM-RFIP) with positive anti-MDA5 antibody usually presents rapid deterioration and traditional therapy such as cyclophosphamide combined with high-dose prednisone pulse therapy shows no clear benefit at whiles. However, blood purification combined with traditional therapy works according to the literature. We herein report two CADM-RFIP patients administered with DNA immunoadsorption combined with traditional therapy and then reviewed the literature of blood purification in CADM-RFIP patients at home and abroad to date. We emphasize blood purification such as DNA immunoadsorption could apply in the early stage of CADM-RFIP, which can decrease inflammation and allow us more time to control the condition better. Keywords: anti-MDA5 body, CADM, DNA immunoadsorption, Interstitial lung diseasehttp://www.sciencedirect.com/science/article/pii/S2213007119301728
spellingShingle Han-yu Shi
Xue-ren Li
Lu-qing Wei
Shou-chun Peng
Blood purification in two patients with clinically amyopathic dermatomyositis associated with interstitial lung disease with anti-melanoma differentiation-associated gene-5 antibody (MDA-5)
Respiratory Medicine Case Reports
title Blood purification in two patients with clinically amyopathic dermatomyositis associated with interstitial lung disease with anti-melanoma differentiation-associated gene-5 antibody (MDA-5)
title_full Blood purification in two patients with clinically amyopathic dermatomyositis associated with interstitial lung disease with anti-melanoma differentiation-associated gene-5 antibody (MDA-5)
title_fullStr Blood purification in two patients with clinically amyopathic dermatomyositis associated with interstitial lung disease with anti-melanoma differentiation-associated gene-5 antibody (MDA-5)
title_full_unstemmed Blood purification in two patients with clinically amyopathic dermatomyositis associated with interstitial lung disease with anti-melanoma differentiation-associated gene-5 antibody (MDA-5)
title_short Blood purification in two patients with clinically amyopathic dermatomyositis associated with interstitial lung disease with anti-melanoma differentiation-associated gene-5 antibody (MDA-5)
title_sort blood purification in two patients with clinically amyopathic dermatomyositis associated with interstitial lung disease with anti melanoma differentiation associated gene 5 antibody mda 5
url http://www.sciencedirect.com/science/article/pii/S2213007119301728
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