Successful treatment of antisynthetase syndrome presenting as rhabdomyolysis with rituximab

Springer Science and Business Media LLC - Tập 38 - Trang 1125-1130 - 2018
Marwa Mohammed Sabha1, Hermann Talom Simo1, Rana Mohammed Shadid2, Nezam Ibrahim Altorok3
1Department of Internal Medicine, University of Toledo Medical Center, Toledo, USA
2Department of pathology, University of Toledo Medical Center, Toledo, USA
3Division of Rheumatology and Immunology, Department of Internal Medicine, University of Toledo Medical Center, Toledo, USA

Tóm tắt

Rhabdomyolysis is a syndrome of muscle necrosis with subsequent release of intracellular content into the blood. There are various causes for rhabdomyolysis that include trauma, medications and rarely autoimmune conditions such as autoimmune myositis. Antisynthetase syndrome is an autoimmune condition characterized by positive antisynthetase antibody, myopathy, lung disease and arthritis. To our knowledge, rhabdomyolysis in antisynthetase syndrome has not been reported in the literature. In this report, we present a patient who presented with features of rhabdomyolysis and was diagnosed with antisynthetase syndrome. This patient was treated with systemic steroids with partial improvement, followed by rituximab, which led to significant improvement in his condition. In addition, we summarize all cases reported in the literature of inflammatory myopathy-associated rhabdomyolysis.

Tài liệu tham khảo

Zutt R, van der Kooi AJ, Linthorst GE, Wanders RJ, de Visser M (2014) Rhabdomyolysis: review of the literature. Neuromuscul Disord 24(8):651–659. https://doi.org/10.1016/j.nmd.2014.05.005 Bosch X, Poch E, Grau JM (2009) Rhabdomyolysis and acute kidney injury. N Engl J Med 361(1):62–72. https://doi.org/10.1056/NEJMra0801327 Mizoguchi F, Takada K, Ishikawa K, Mizusawa H, Kohsaka H, Miyasaka N (2015) A case of dermatomyositis with rhabdomyolysis, rescued by intravenous immunoglobulin. Mod Rheumatol 25(4):646–648. https://doi.org/10.3109/14397595.2013.843753 Joshi D, Kumar N, Rai A (2009) Dermatomyositis presenting with rhabdomyolysis and acute renal failure; an uncommon manifestation. Ann Indian Acad Neurol 12(1):45–47. https://doi.org/10.4103/0972-2327.48853 Fukunaga E, Kunishige M, Mitsui T, Endo I, Oshima Y, Ohnishi Y, Kuroda Y, Hara S, Matsumoto T (2002) Severe dermatomyositis with rhabdomyolysis and paralytic ileus: a case successfully treated with plasmapheresis and intravenous immunoglobulin. Eur J Neurol 9(6):697–698 Caccamo DV, Keene CY, Durham J, Peven D (1993) Fulminant rhabdomyolysis in a patient with dermatomyositis. Neurology 43(4):844–845 Mahler M, Miller FW, Fritzler MJ (2014) Idiopathic inflammatory myopathies and the anti-synthetase syndrome: a comprehensive review. Autoimmun Rev 13(4–5):367–371. https://doi.org/10.1016/j.autrev.2014.01.022 Knochel JP (1993) Mechanisms of rhabdomyolysis. Curr Opin Rheumatol 5(6):725–731 Brumback RA, Feeback DL, Leech RW (1992) Rhabdomyolysis in childhood. A primer on normal muscle function and selected metabolic myopathies characterized by disordered energy production. Pediatric clin N Am 39(4):821–858 Yen TH, Lai PC, Chen CC, Hsueh S, Huang JY (2005) Renal involvement in patients with polymyositis and dermatomyositis. Int J Clin Pract 59(2):188–193. https://doi.org/10.1111/j.1742-1241.2004.00248.x Tsai CN, Liu MF, Lin TS, Lin LH, Wang CR (2004) Rhabdomyolysis and acute renal failure in a polymyositis patient. Mod Rheumatol 14(5):422–423. https://doi.org/10.1007/s10165-004-0335-0 Rorive A, Fraipont V, Quatresooz P, Cataldo D, Dubois B, Fillet G (1999) [Clinical case of the month. A case of acute rhabdomyolysis]. Rev Med Liege 54(3):143–148 Marks SH, McShane DJ, Mitchell DM (1976) Dermatomyositis following rhabdomyolysis. J Rheumatol 3(3):224–226 Kofteridis DP, Malliotakis PI, Sotsiou F, Vardakis NK, Vamvakas LN, Emmanouel DS (1999) Acute onset of dermatomyositis presenting in pregnancy with rhabdomyolysis and fetal loss. Scand J Rheumatol 28(3):192–194 Kim HW, Choi JR, Jang SJ, Chang YS, Bang BK, Park CW (2005) Recurrent rhabdomyolysis and myoglobinuric acute renal failure in a patient with polymyositis. Nephrol Dial Transplant 20(10):2255–2258. https://doi.org/10.1093/ndt/gfh950 Farooq A, Choksi V, Chu A, Mankodi D, Shaharyar S, O’Brien K, Shankar U (2015) Severe rhabdomyolysis without systemic involvement: a rare case of idiopathic eosinophilic polymyositis. Case Rep Rheumatol 2015:908109. https://doi.org/10.1155/2015/908109 Pinto-Lopes P, Carneiro-Leao L, Morais R, Pinheiro J, Vieira Lopes A, Bettencourt P (2017) Acute heart failure and rhabdomyolysis: a clue for the diagnosis of polymyositis with cardiac involvement. Reumatismo 69(2):78–83. https://doi.org/10.4081/reumatismo.2017.924