Case report: Acute polymyositis in a patient with chronic graft vs. host disease
Tóm tắt
Chronic graftversus host disease (cGVHD) is a multisystemic condition which occurs in 25 to 40 % of patients undergoing allogeneic bone marrow transplantation.1 A 31 year old male developed acute polymyositis one year in the setting of cGVHDetc. after allogeneic bone marrow transplantation. A viral etiology could not be proven. This presumably represented a manifestation of cGVHD. His clinical condition improved with immunosuppression and he remains asymptomatic, off therapy.
Tài liệu tham khảo
Ascensao J L, Ahmed T, ArlinZ: Autologous and allogeneic bone marrow transplantation.NY State J Med 86, 178 (1986).
Pier N, Dubowitz V: Chronic graftvs host disease presenting with polymyositis.Br Med J 286, 2024 (1983).
Anderson B A, Young P V, Kean W F, Ludwin S K, Galbraith P R, Anastassiades T P: Polymyositis in chronic graftvs host disease.Arch Neurol 39, 138–190 (1982).
Reyes M G, Noronha P, Thomas W Jr, HerediaR: Myositis of chronic graftvs host disease.Neurology 33, 1222–1224 (1983).
Urbano-Marquez A, Estruch R, Grau J M, Granena A, Martin-Ortega E, Palou J, Roxman C: Inflammatory myopathy associated with chronic graftvs host disease.Neurology 36, 1091–1093 (1986).
Mass A : Severe influenza myositis.Med J A ust 142 (1985).
Kanton R J, Norden C W, Wein T P: Infectious mononucleosis associated with rhabdomyolysis and renal failure.South Med J 71, 346–347 (1978).
Schlesinger R J, Gandara R D, Bensch K G: Myoglobinuria associated with herpes group viral infections.Arch Ind Med 138, 422–423(1978).
Hughes G S Jr, Hunt R: Cytomegalovirus infection with rhabdomyolysis and myoglobinuria.Ann Int Med 101, 276–277 (1984).
Dalakas M C, Pezeshkpour G H, Gravell M, Sever J L: Polymyositis associated with AIDS retrovirus.J Am Med Assoc 256, 2381–2383 (1986).
Tang T T, Sedmedk G V, Siegesmund K A,et al: Chronic myopathy associated with Coxackie virus type A9: A combined electromicroscopic and viral isolation study.N Engl J Med 292, 608–611(1975).
Walker E, Jeffery P D: Polymyositis and molecular mimicry: A mechanism of au to Immunity.Lancet 2, 605–607 (1986).
Schulman H M, Sullivan K M, Weiden P L, McDonald G B, Strieker G E, Sale G E, Hackman R, Tsoi M S, Strob R, Thomas E D: Chronic graftvs host syndrome in man: A long-term clinicopathologic study of 20 Seattle patients.Am J Med 69, 204–217 (1980).
Bohan A, Peter J B: Polymyositis and dermatomyositis.N Eng JMed 292, 344–347 (1975).
DalakasM: A classification of polymyositis and dermatomyositis, in DalakasM (ed):Polymyositis and Dermatomyositis, pp. 1–16. Butterworths, Boston (1988).
DalakasM: Polymyositis and Dermatomyositis: An overview, in DalakasM (ed):Polymyositis and Dermatomyositis, pp.327–336. Butterworths, Boston (1988).
Sullivan K M, Witherspoon R, StorbR,et al.: Chronic graftvs host disease: Pathogenesis, diagnosis, treatment and prognostic factors, in Baum S J, Santos G W, TakakuF (eds):Recent Advances and Future Directions in Bone Marrow Transplantation, pp. 150–157. Springer Verlag, New York (1988).