Skip to main content
Top
Published in: Intensive Care Medicine 9/2007

01-09-2007 | Case Discussion

Successful use of extracorporeal membrane oxygenation for severe interstitial lung disease in a child with dermatomyositis

Authors: Francesco Zulian, Maria Martha Martinez Toledo, Angela Amigoni, Giorgia Martini, Caterina Agosto, Andrea Pettenazzo

Published in: Intensive Care Medicine | Issue 9/2007

Login to get access

Excerpt

Juvenile dermatomyositis (JDM) is a multisystemic disease of children that affects primarily muscle and skin. The prevalence of pulmonary involvement is not well known but seems to be rarer than in adult patients with dermatomyositis/polymyositis (DM/PM) [13]. A wide spectrum of clinical presentations have been described, ranging from asymptomatic patients with merely abnormal pulmonary function tests [4] to severe, potentially fatal cases refractory to immunosuppressive and supportive therapy [5-9]. Here we present the case of a child with JDM and severe interstitial lung disease (ILD) successfully treated with immunosuppressive drugs and extracorporeal membrane oxygenation (ECMO). …
Literature
1.
go back to reference Selva-Ocallaghan A, Labrador-Horrillo M, Munoz-Gall X, Martínez-Gomez X, Majó-Masferrer J, Solans-Laque R, Simeon-Aznar CP, Morell-Brotard F, Vilardell-Tarrés M (2005) Polymyositis/dermatomyositis-associated lung disease: analysis of a series of 81 patients. Lupus 14:534–542CrossRef Selva-Ocallaghan A, Labrador-Horrillo M, Munoz-Gall X, Martínez-Gomez X, Majó-Masferrer J, Solans-Laque R, Simeon-Aznar CP, Morell-Brotard F, Vilardell-Tarrés M (2005) Polymyositis/dermatomyositis-associated lung disease: analysis of a series of 81 patients. Lupus 14:534–542CrossRef
2.
go back to reference Kang EH, Lee EB, Shin KC, Im CH, Chung DH, Han SK, Song YW (2005) Interstitial lung disease in patients with polymyositis, dermatomyositis and amyopathic dermatomyositis. Rheumatology (Oxf) 44:1282–1286CrossRef Kang EH, Lee EB, Shin KC, Im CH, Chung DH, Han SK, Song YW (2005) Interstitial lung disease in patients with polymyositis, dermatomyositis and amyopathic dermatomyositis. Rheumatology (Oxf) 44:1282–1286CrossRef
3.
go back to reference Fathi M, Dastmalchi M, Rasmussen E, Lundberg IE, Tornling G (2004) Interstitial lung disease, a common manifestation of newly diagnosed Polymyositis and Dermatomyositis. Ann Rheum Dis 63:297–301PubMedCrossRef Fathi M, Dastmalchi M, Rasmussen E, Lundberg IE, Tornling G (2004) Interstitial lung disease, a common manifestation of newly diagnosed Polymyositis and Dermatomyositis. Ann Rheum Dis 63:297–301PubMedCrossRef
4.
go back to reference Trapani S, Camiciottoli G, Vierucci A, Pistolesi M, Falcini F (2001) Pulmonary involvement in juvenile dermatomyositis: a two-year longitudinal study. Rheumatology (Oxf) 40:216–220CrossRef Trapani S, Camiciottoli G, Vierucci A, Pistolesi M, Falcini F (2001) Pulmonary involvement in juvenile dermatomyositis: a two-year longitudinal study. Rheumatology (Oxf) 40:216–220CrossRef
5.
go back to reference Park S, Nyhan WL (1975) Fatal pulmonary involvement in dermatomyositis. Am J Dis Child 129:723–726PubMed Park S, Nyhan WL (1975) Fatal pulmonary involvement in dermatomyositis. Am J Dis Child 129:723–726PubMed
6.
go back to reference Al-Mayouf SM, Al-Eid W, Bahabri S, Al-Mofada S (2001) Interstitial pneumonitis and air leakage in juvenile dermatomyositis. Rheumatology (Oxf) 40:588–590CrossRef Al-Mayouf SM, Al-Eid W, Bahabri S, Al-Mofada S (2001) Interstitial pneumonitis and air leakage in juvenile dermatomyositis. Rheumatology (Oxf) 40:588–590CrossRef
7.
go back to reference Lin YC, Yang YH, Lin YT, Chiang BL (2002) Steroid refractory interstitial pneumonitis in a patient with juvenile dermatomyositis. J Microbiol Immunol Infect 35:259–261PubMed Lin YC, Yang YH, Lin YT, Chiang BL (2002) Steroid refractory interstitial pneumonitis in a patient with juvenile dermatomyositis. J Microbiol Immunol Infect 35:259–261PubMed
8.
go back to reference Kobayashi I, Yamada M, Takahashi Y, Kawamura N, Okano M, Sakiyama Y, Kobayashi K (2003) Interstitial lung disease associated with juvenile dermatomyositis: clinical features and efficacy of cyclosporin A. Rheumatology (Oxf) 42:371–374CrossRef Kobayashi I, Yamada M, Takahashi Y, Kawamura N, Okano M, Sakiyama Y, Kobayashi K (2003) Interstitial lung disease associated with juvenile dermatomyositis: clinical features and efficacy of cyclosporin A. Rheumatology (Oxf) 42:371–374CrossRef
9.
go back to reference Prahalad S, Bohnsack JF, Maloney CG, Leslie KO (2005) Fatal acute fibrinous and organizing pneumonia in a child with juvenile dermatomyositis. J Pediatr 146:289–292PubMedCrossRef Prahalad S, Bohnsack JF, Maloney CG, Leslie KO (2005) Fatal acute fibrinous and organizing pneumonia in a child with juvenile dermatomyositis. J Pediatr 146:289–292PubMedCrossRef
10.
go back to reference Bohan A, Peter JB (1975) Polymyositis and dermatomyositis (first of two parts). N Engl J Med 292:344–347PubMedCrossRef Bohan A, Peter JB (1975) Polymyositis and dermatomyositis (first of two parts). N Engl J Med 292:344–347PubMedCrossRef
11.
go back to reference Mielck F, Quintel M (2005) Extracorporeal membrane oxygenation. Curr Opin Crit Care 11:87–93PubMedCrossRef Mielck F, Quintel M (2005) Extracorporeal membrane oxygenation. Curr Opin Crit Care 11:87–93PubMedCrossRef
12.
go back to reference Douglas R, Hansell RRT (2003) Extracorporeal Membrane Oxygenation for perinatal and pediatric patients. Respir Care 48:352–366 Douglas R, Hansell RRT (2003) Extracorporeal Membrane Oxygenation for perinatal and pediatric patients. Respir Care 48:352–366
13.
go back to reference Kolovos NS, Schuerer DJE, Moler FW, Bratton SL, Swaniker F, Bartlett RH, Custer JR, Annich G (2002) Extracorporeal life support for pulmonary hemorrhage in children: a case series. Crit Care Med 30:577–580PubMedCrossRef Kolovos NS, Schuerer DJE, Moler FW, Bratton SL, Swaniker F, Bartlett RH, Custer JR, Annich G (2002) Extracorporeal life support for pulmonary hemorrhage in children: a case series. Crit Care Med 30:577–580PubMedCrossRef
14.
go back to reference Matsumoto T, Ueki K, Tamura S, Ideura H, Tsukada Y, Maezawa A, Nojima Y, Naruse T (2000) Extracorporeal membrane oxygenation for the management of respiratory failure due to ANCA-associated vasculitis. Scand J Rheumatol 29:195–197PubMedCrossRef Matsumoto T, Ueki K, Tamura S, Ideura H, Tsukada Y, Maezawa A, Nojima Y, Naruse T (2000) Extracorporeal membrane oxygenation for the management of respiratory failure due to ANCA-associated vasculitis. Scand J Rheumatol 29:195–197PubMedCrossRef
15.
go back to reference Ahmed SH, Aziz T, Cochran J, Highland K (2004) Use of Extracorporeal Membrane Oxygenation in a Patient With Diffuse Alveolar Hemorrhage. Chest 126:305–309PubMedCrossRef Ahmed SH, Aziz T, Cochran J, Highland K (2004) Use of Extracorporeal Membrane Oxygenation in a Patient With Diffuse Alveolar Hemorrhage. Chest 126:305–309PubMedCrossRef
16.
go back to reference Agarwal HS, Taylor MB, Grzeszczak MJ, Lovvorn HN, Hunley TE, Jabs K, Shankar V (2005) Extra corporeal membrane oxygenation and plasmapheresis for pulmonary hemorrhage in microscopic polyangiitis. Pediatr Nephrol 20:526–528PubMedCrossRef Agarwal HS, Taylor MB, Grzeszczak MJ, Lovvorn HN, Hunley TE, Jabs K, Shankar V (2005) Extra corporeal membrane oxygenation and plasmapheresis for pulmonary hemorrhage in microscopic polyangiitis. Pediatr Nephrol 20:526–528PubMedCrossRef
Metadata
Title
Successful use of extracorporeal membrane oxygenation for severe interstitial lung disease in a child with dermatomyositis
Authors
Francesco Zulian
Maria Martha Martinez Toledo
Angela Amigoni
Giorgia Martini
Caterina Agosto
Andrea Pettenazzo
Publication date
01-09-2007
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 9/2007
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-007-0763-3

Other articles of this Issue 9/2007

Intensive Care Medicine 9/2007 Go to the issue