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Rheumatology 2001; 40: 588-590
© 2001 British Society for Rheumatology

Paediatric Rheumatology

Interstitial pneumonitis and air leakage in juvenile dermatomyositis

Paediatric Rheumatology/Series Editor: P. Woo

Letters to the Editor

S. M. Al-Mayouf, W. Al-Eid, S. Bahabri and S. Al-Mofada

Department of Pediatrics (MBC-58), King Faisal Specialist Hospital and Research Center, PO Box 3354, Riyadh 11211, Saudi Arabia

Interstitial pneumonitis and air leakage in juvenile dermatomyositis

SIR, Interstitial pneumonitis is a common pulmonary complication of dermatomyositis (DM) but associated air leakage is rarely described in juvenile dermatomyositis (JDM). We have recently looked after a child with severe JDM and associated pulmonary involvement complicated by recurrent spontaneous air leakage that was treated successfully with cyclosporin.

A 4-yr-old girl presented with a 1-month history of intermittent fever, skin rash and progressive generalized muscle weakness, associated with difficulty in swallowing and respiratory distress. Within 2 weeks she was unable to sit or stand and she became bedridden. Her weight was 12.8 kg (below the 5th percentile) and her height 98 cm (5th percentile). She was looking ill, with nasal speech and drooling of . . . [Full Text of this Article]

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I. Kobayashi, M. Yamada, Y. Takahashi, N. Kawamura, M. Okano, Y. Sakiyama, and K. Kobayashi
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