Case Report

J Rheum Dis 2014; 21(1): 25-29

Published online February 28, 2014

© Korean College of Rheumatology

Acute Polymyositis/systemic Lupus Erythematosus Overlap Syndrome with Severe Subcutaneous Edema and Interstitial Lung Disease

U-ram Jin1, Kyu-Sung Kwack2, Kyung-Joo Park2, Ji-Eun Kwon3, Si-Yeon Kim1, Ki-Chan Kim1, Ga-Yong Ban1, Ju-Yang Jung1, Chang-Hee Suh1, Hyoun-Ah Kim1

Departments of Rheumatology1, Radiology2, Pathology3, Ajou University School of Medicine, Suwon, Korea

Correspondence to : Hyoun-Ah Kim

Received: March 12, 2013; Revised: May 10, 2013; Accepted: May 12, 2013

Abstract

Inflammatory myopathy is characterized by symmetrical proximal muscle weakness, elevated muscle enzyme levels and favorable response to glucocorticoids therapy. Although periorbital edema is a common manifestation of inflammatory myopathy, generalized subcutaneous edema is very rare. We report here a case of a 47-year-old female patient with acute polymyositis/systemic lupus eryth-ematosus overlap syndrome with generalized subcutaneous edema and interstitial lung disease. We aggressively treat-ed the disease with high-dose glucocorticoids, intravenous immunoglobulin, and immunosuppressive agents.

Keywords Inflammatory myopathy, Overlap syndrome, Subcutaneous edema, Interstitial lung disease

Article

Case Report

J Rheum Dis 2014; 21(1): 25-29

Published online February 28, 2014

Copyright © Korean College of Rheumatology.

Acute Polymyositis/systemic Lupus Erythematosus Overlap Syndrome with Severe Subcutaneous Edema and Interstitial Lung Disease

U-ram Jin1, Kyu-Sung Kwack2, Kyung-Joo Park2, Ji-Eun Kwon3, Si-Yeon Kim1, Ki-Chan Kim1, Ga-Yong Ban1, Ju-Yang Jung1, Chang-Hee Suh1, Hyoun-Ah Kim1

Departments of Rheumatology1, Radiology2, Pathology3, Ajou University School of Medicine, Suwon, Korea

Correspondence to:Hyoun-Ah Kim

Received: March 12, 2013; Revised: May 10, 2013; Accepted: May 12, 2013

Abstract

Inflammatory myopathy is characterized by symmetrical proximal muscle weakness, elevated muscle enzyme levels and favorable response to glucocorticoids therapy. Although periorbital edema is a common manifestation of inflammatory myopathy, generalized subcutaneous edema is very rare. We report here a case of a 47-year-old female patient with acute polymyositis/systemic lupus eryth-ematosus overlap syndrome with generalized subcutaneous edema and interstitial lung disease. We aggressively treat-ed the disease with high-dose glucocorticoids, intravenous immunoglobulin, and immunosuppressive agents.

Keywords: Inflammatory myopathy, Overlap syndrome, Subcutaneous edema, Interstitial lung disease

JRD
Jan 01, 2025 Vol.32 No.1, pp. 1~7
COVER PICTURE
Cumulative growth of rheumatology members and specialists (1980~2024). Cumulative distribution of the number of the (A) Korean College of Rheumatology members and (B) rheumatology specialists. (J Rheum Dis 2025;32:63-65)

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