Two Patients with Polymyositis or Dermatomyositis Complicated with Massive Pleural Effusion

Masayuki MIYATA; Etsuko FUKAYA; Tadayuki TAKAGI; Kenya WATANABE; Hiroyuki SAITO; Masayuki ITO; Ryoji YOSHIOKA; Yoshihiro KAZUTA; Yukie YUSA; Atsushi IRISAWA; Yukio SATO; Tomoe NISHIMAKI; Hiromi KUMAKAWA; Reiji KASUKAWA

doi:10.2169/internalmedicine.37.1058

Masayuki MIYATA, Etsuko FUKAYA, Tadayuki TAKAGI, Kenya WATANABE, Hiroyuki SAITO, Masayuki ITO, Ryoji YOSHIOKA, Yoshihiro KAZUTA, Yukie YUSA, Atsushi IRISAWA, Yukio SATO, Tomoe NISHIMAKI, Hiromi KUMAKAWA, Reiji KASUKAWA

Author information

Masayuki MIYATA
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Etsuko FUKAYA
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Tadayuki TAKAGI
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Kenya WATANABE
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Hiroyuki SAITO
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Masayuki ITO
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Ryoji YOSHIOKA
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Yoshihiro KAZUTA
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Yukie YUSA
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Atsushi IRISAWA
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Yukio SATO
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Tomoe NISHIMAKI
The Department of Internal Medicine II, Fukushima Medical University School of Medicine
Hiromi KUMAKAWA
The Department of Internal Medicine, Soma Public Hospital
Reiji KASUKAWA
The Department of Internal Medicine II, Fukushima Medical University School of Medicine

Keywords: pleuritis, cardiomyopathy, interstitial pneumonia, hypothyroidism, hydrothorax

JOURNAL FREE ACCESS

1998 Volume 37 Issue 12 Pages 1058-1063

DOI https://doi.org/10.2169/internalmedicine.37.1058

Details

Abstract

Two patients with polymyositis (PM) or dermatomyositis (DM) complicated with massive pleural effusion are reported here. Both patients presented a high-grade fever, pleural effusion prominent on the right, and good response to steroid therapy. In a 50-year-old woman with PM, combined process of pleural inflammation, cardiomyopathy and coexisting hypothyroidism were considered to be responsible for the accumulation of the massive pleural effusion. However, in a 34-year-old man with DM, pleural inflammation associated with interstitial pneumonia or pleural microvasculopathy in DM was considered to be responsible for the accumulation of the massive pleural effusion.
(Internal Medicine 37: 1058-1063, 1998)

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