Two challenging cases of anti-MDA-5 dermatomyositis with rapidly progressive interstitial lung disease

Author:

Biddle Kathryn12ORCID,Agaoglu Elif3,Brent Geoffrey4,Adam John5ORCID,Nockels Rachel5,Loveridge Adam3,Bazari Farid3,Natkunarajah Janakan4,Al-Shakarchi Israa2

Affiliation:

1. St George's University of London , Infection and Immunity, Cranmer Terrace, London, SW17 0RE, UK

2. Kingston Hospital NHS Foundation Trust , Rheumatology, Kingston upon Thames, KT2 7QB, UK

3. Kingston Hospital NHS Foundation Trust , Respiratory, Kingston upon Thames, KT2 7QB, UK

4. Kingston Hospital NHS Foundation Trust , Dermatology, Kingston upon Thames, KT2 7QB, UK

5. Kingston Hospital NHS Foundation Trust , General Medicine, Kingston upon Thames, KT2 7QB, UK

Abstract

Abstract Anti-MDA-5 dermatomyositis (DM) is a subtype of idiopathic inflammatory myopathy, commonly presenting as clinically amyopathic dermatomyositis. It is associated with rapidly progressive interstitial lung disease and a poor prognosis. Here, we present two cases of anti-MDA-5 DM and discuss the challenges associated with timely diagnosis, and the importance of early and aggressive treatment.

Publisher

Oxford University Press (OUP)

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