Radiological and Pathological Correlation in Anti-MDA5 Antibody-positive Interstitial Lung Disease: Rapidly Progressive Perilobular Opacities and Diffuse Alveolar Damage

We herein present the first case of rapidly progressive interstitial lung disease (RP-ILD) with anti-melanoma differentiation-associated protein 5 (MDA5) antibody evaluated by surgical lung biopsy (SLB). High-resolution CT scan revealed perilobular opacities, which rapidly became thicker and formed...

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Veröffentlicht in:Internal Medicine 2016/08/15, Vol.55(16), pp.2241-2246
Hauptverfasser: Chino, Haruka, Sekine, Akimasa, Baba, Tomohisa, Iwasawa, Tae, Okudela, Koji, Takemura, Tamiko, Itoh, Harumi, Sato, Shinji, Suzuki, Yasuo, Ogura, Takashi
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container_end_page 2246
container_issue 16
container_start_page 2241
container_title Internal Medicine
container_volume 55
creator Chino, Haruka
Sekine, Akimasa
Baba, Tomohisa
Iwasawa, Tae
Okudela, Koji
Takemura, Tamiko
Itoh, Harumi
Sato, Shinji
Suzuki, Yasuo
Ogura, Takashi
description We herein present the first case of rapidly progressive interstitial lung disease (RP-ILD) with anti-melanoma differentiation-associated protein 5 (MDA5) antibody evaluated by surgical lung biopsy (SLB). High-resolution CT scan revealed perilobular opacities, which rapidly became thicker and formed consolidation, resulting in remarkable loss of lung volume. Specimens taken from SLB revealed membranous organization with alveolar occlusion, dilation of alveolar ducts, and sacs with collapsed alveoli, which are typical features of diffuse alveolar damage (DAD). Rapidly progressive perilobular opacities may be characteristic of RP-ILD with anti-MDA5 antibody and DAD.
doi_str_mv 10.2169/internalmedicine.55.5774
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subjects anti-melanoma differentiation-associated protein 5 antibody
Autoantibodies - blood
Biomarkers - blood
clinically amyopathic dermatomyositis
Cyclic N-Oxides - blood
Humans
Lung Diseases, Interstitial - blood
Lung Diseases, Interstitial - diagnostic imaging
Male
Middle Aged
perilobular opacities
Pulmonary Alveoli
radiological and pathological correlation
rapidly-progressive interstitial lung disease
surgical lung biopsy
Tomography, X-Ray Computed
title Radiological and Pathological Correlation in Anti-MDA5 Antibody-positive Interstitial Lung Disease: Rapidly Progressive Perilobular Opacities and Diffuse Alveolar Damage
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