Envolvimento pulmonar na polimiosite
Pulmonary disease in polymyositis
Direndra Hasmucrai1, Ana Cristina Mendes2, Isabel Correia2, Teresinha Evangelista3,
, António Bugalho de Almeida4
Corresponding author
1 Interno do complementar de Pneumologia Serviço de Pneumologia I, Hospital de Santa Maria, CHLN, Lisboa, Portugal
2 Assistente Hospitalar Graduada de Pneumologia Serviço de Pneumologia I, Hospital de Santa Maria, CHLN, Lisboa, Portugal
3 Assistente Hospitalar de Neurologia Serviço de Pneumologia I, Hospital de Santa Maria, CHLN, Lisboa, Portugal
4 Director de Serviço de Pneumologia I Serviço de Pneumologia I, Hospital de Santa Maria, CHLN, Lisboa, Portugal
Read
1242
Timeswas read the article
783
Total PDF
459
Total HTML
Share statistics
array:24 [ "pii" => "S2173511510700683" "issn" => "21735115" "doi" => "10.1016/S2173-5115(10)70068-3" "estado" => "S300" "fechaPublicacion" => "2010-07-01" "aid" => "70068" "copyright" => "Sociedade Portuguesa de Pneumologia" "copyrightAnyo" => "2010" "documento" => "article" "crossmark" => 0 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "cor" "cita" => "Rev Port Pneumol. 2010;16:671-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4130 "formatos" => array:3 [ "EPUB" => 242 "HTML" => 2256 "PDF" => 1632 ] ] "itemSiguiente" => array:19 [ "pii" => "S2173511510700695" "issn" => "21735115" "doi" => "10.1016/S2173-5115(10)70069-5" "estado" => "S300" "fechaPublicacion" => "2010-07-01" "aid" => "70069" "copyright" => "Sociedade Portuguesa de Pneumologia" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "cor" "cita" => "Rev Port Pneumol. 2010;16:679-85" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4774 "formatos" => array:3 [ "EPUB" => 238 "HTML" => 3351 "PDF" => 1185 ] ] "pt" => array:10 [ "idiomaDefecto" => true "titulo" => "Síndroma hepatopulmonar: Relato de um caso clínico e revisão do tema" "tienePdf" => "pt" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "679" "paginaFinal" => "685" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hepatopulmonary syndrome: Case report and literature review" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Michele De Santis, Luis Vaz Rodrigues, Fernando Matos, Fernando Barata" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Michele" "apellidos" => "De Santis" ] 1 => array:2 [ "nombre" => "Luis" "apellidos" => "Vaz Rodrigues" ] 2 => array:2 [ "nombre" => "Fernando" "apellidos" => "Matos" ] 3 => array:3 [ "preGrado" => "Dr." "nombre" => "Fernando" "apellidos" => "Barata" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700695?idApp=UINPBA00004E" "url" => "/21735115/0000001600000004/v1_201305151531/S2173511510700695/v1_201305151531/pt/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173511510700671" "issn" => "21735115" "doi" => "10.1016/S2173-5115(10)70067-1" "estado" => "S300" "fechaPublicacion" => "2010-07-01" "aid" => "70067" "copyright" => "Sociedade Portuguesa de Pneumologia" "documento" => "article" "crossmark" => 0 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "cor" "cita" => "Rev Port Pneumol. 2010;16:659-70" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3646 "formatos" => array:3 [ "EPUB" => 236 "HTML" => 2173 "PDF" => 1237 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Watermelon stomach, hemorrhagic pericarditis, small cell carcinoma of the lung and synchronous squamous cell carcinoma of the tongue base" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "659" "paginaFinal" => "670" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Estômago em melancia, pericardite hemorrágica, tumor de pequenas células do pulmão e carcinoma pavimentocelular síncrono da base da língua" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Murinello, H. Damásio, A.M. Figueiredo, J. Netta, A. Carvalho, A.A. Matos, M.J. Murillo, A. Albuquerque" "autores" => array:8 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Murinello" ] 1 => array:2 [ "nombre" => "H." "apellidos" => "Damásio" ] 2 => array:2 [ "nombre" => "A.M." "apellidos" => "Figueiredo" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Netta" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Carvalho" ] 5 => array:2 [ "nombre" => "A.A." "apellidos" => "Matos" ] 6 => array:2 [ "nombre" => "M.J." "apellidos" => "Murillo" ] 7 => array:2 [ "nombre" => "A." "apellidos" => "Albuquerque" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700671?idApp=UINPBA00004E" "url" => "/21735115/0000001600000004/v1_201305151531/S2173511510700671/v1_201305151531/en/main.assets" ] "pt" => array:14 [ "idiomaDefecto" => true "titulo" => "Envolvimento pulmonar na polimiosite" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "671" "paginaFinal" => "677" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Direndra Hasmucrai, Ana Cristina Mendes, Isabel Correia, Teresinha Evangelista, António Bugalho de Almeida" "autores" => array:5 [ 0 => array:3 [ "nombre" => "Direndra" "apellidos" => "Hasmucrai" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Ana" "apellidos" => "Cristina Mendes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Isabel" "apellidos" => "Correia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 3 => array:4 [ "nombre" => "Teresinha" "apellidos" => "Evangelista" "email" => array:1 [ 0 => "diren2000@yahoo.com.br" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 4 => array:3 [ "nombre" => "António Bugalho" "apellidos" => "de Almeida" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Interno do complementar de Pneumologia Serviço de Pneumologia I, Hospital de Santa Maria, CHLN, Lisboa, Portugal" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar Graduada de Pneumologia Serviço de Pneumologia I, Hospital de Santa Maria, CHLN, Lisboa, Portugal" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Assistente Hospitalar de Neurologia Serviço de Pneumologia I, Hospital de Santa Maria, CHLN, Lisboa, Portugal" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Director de Serviço de Pneumologia I Serviço de Pneumologia I, Hospital de Santa Maria, CHLN, Lisboa, Portugal" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Serviço de Neurologia, Hospital de Santa Maria, CHLN, Lisboa, Portugal." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pulmonary disease in polymyositis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-09-21" "fechaAceptado" => "2010-01-04" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec160970" "palabras" => array:4 [ 0 => "Polimiosite" 1 => "telerradiografia do tórax" 2 => "diagnóstico" 3 => "prognóstico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec160971" "palabras" => array:4 [ 0 => "Polymyositis" 1 => "chest X-ray" 2 => "diagnosis" 3 => "prognosis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span class="elsevierStyleSectionTitle">Introdução</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A polimiosite (PM) e a dermatomiosite são classificadas como miopatias inflamatórias idiopáticas. O envolvimento pulmonar por PM é pouco frequente, estando descrito na literatura em cerca de 10% de casos.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam um caso de uma mulher de 75 anos, com queixas de febre, perda ponderal, artralgias, mialgias e diminuição simétrica e proximal da força muscular com impotência funcional dos membros superiores e inferiores, com início um mês antes do internamento. Apresentava infiltrados pulmonares na telerradiografia de tórax. Após estudo exaustivo estabeleceu-se o diagnóstico de envolvimento pulmonar na forma de pneumonia organizativa por PM. Efectuou-se corticoterapia e terapêutica com micofenolato com melhoria clínica, analítica e radiológica.</p> <span class="elsevierStyleSectionTitle">Conclusão</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Neste caso, foi a alteração na telerradiografia de tórax numa doente sem sintomatologia respiratória que levou ao estudo exaustivo até ao diagnóstico de PM, realçando mais uma vez a importância da telerradiografia no rastreio de patologias de outros foros.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Polymyositis and dermatomyositis are classified as idiopathic inflammatory myopathies. Interstitial lung disease is rare and is described in the literature in about 10% of cases.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The authors describes a case of 75 year old woman presenting with one month evolution of fever, weight loss, arthralgia, myalgia and symmetric and proximal muscle weakness of upper and lower limbs. Nonspecific interstitial changes was found in chest X-ray. After exhaustive study, the diagnosis of pulmonary envolvement in the form of organizing pneumonia by polymyositis, was established. Glucocorticoids and mycophenolate were prescribed with good clinical, analytical and radiological outcome.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">In this case, it was the changes in the chest X-ray in a patient without respiratory symptomatology, that conducted to exhaustive study to polymyositis diagnosis, enhancing once again the importance of X-ray in the screaning of pathologies of other systems.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Marc LM, Stacy AR. Initial treatment of dermatomyositis and polymyositis in adults. UpToDate, 2008." ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Marc LM. Clinical manifestations and diagnosis of adult dermatomyositis and polymyositis. UpToDate, 2008." ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Marc LM. Pulmonary disease in dermatomyositis and polymyositis. UpToDate, 2008." ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Elsevier. Clinical immunology. Online, 2008." ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Azathioprine with prednisone for polymyositis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "T.W. Bunch" 1 => "J.W. Worthington" 2 => "J.J. Combs" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ann Intern Med" "fecha" => "1980" "volumen" => "92" "paginaInicial" => "265" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7352743" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Novel classification of idiopathic inflammatory myopathies besedon overlap syndrome features and autoantibodies: analysis of 100 French Canadian patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "Y. Troyanov" 1 => "I.N. Targoff" 2 => "J.L. Tremblay" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Medicine (Baltimore)" "fecha" => "2005" "volumen" => "84" "paginaInicial" => "231" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "International consensus outcome measures for patients with idiopathic anflammatory myopathies. Development and initial validation of myositis activity and damage indices in patients with adult onset disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "D.A. Isenberg" 1 => "E. Allen" 2 => "V. Farewell" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Rheumatology (Oxford)" "fecha" => "2004" "volumen" => "43" "paginaInicial" => "49" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A new approch to the classification of idiopathic inflammatory myopathy: Myositis-specific autoantibodies define useful homogeneous patient groups" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "L.A. Love" 1 => "R.L. Left" 2 => "D.D. Fraser" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Medicine" "fecha" => "1991" "volumen" => "70" "paginaInicial" => "360" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1659647" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gender and underlying disease affect the frequency of the concurrence of adult polymyositis/dermatomyositis and interstitial pneumonia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "Y. Nanbu" 1 => "M. Mouri" 2 => "H. Toga" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Chest" "fecha" => "1994" "volumen" => "106" "paginaInicial" => "1931" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7988241" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Interstitial lung disease in polymyositis and dermatomyositis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "I. Marie" 1 => "E. Hachulla" 2 => "P. Cherin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/art.10794" "Revista" => array:5 [ "tituloSerie" => "Arthritis Rheum" "fecha" => "2002" "volumen" => "47" "paginaInicial" => "614" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12522835" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/21735115/0000001600000004/v1_201305151531/S2173511510700683/v1_201305151531/pt/main.assets" "Apartado" => array:4 [ "identificador" => "9550" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case Report/Caso Clínico" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735115/0000001600000004/v1_201305151531/S2173511510700683/v1_201305151531/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700683?idApp=UINPBA00004E" ]
Article information
ISSN: 21735115Original language: Portuguese
The statistics are updated each day
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 2 | 6 |
| 2024 October | 29 | 43 | 72 |
| 2024 September | 39 | 53 | 92 |
| 2024 August | 44 | 66 | 110 |
| 2024 July | 27 | 53 | 80 |
| 2024 June | 18 | 39 | 57 |
| 2024 May | 38 | 60 | 98 |
| 2024 April | 30 | 53 | 83 |
| 2024 March | 21 | 49 | 70 |
| 2024 February | 29 | 45 | 74 |
| 2024 January | 16 | 40 | 56 |
| 2023 December | 13 | 60 | 73 |
| 2023 November | 19 | 38 | 57 |
| 2023 October | 13 | 29 | 42 |
| 2023 September | 15 | 35 | 50 |
| 2023 August | 30 | 30 | 60 |
| 2023 July | 18 | 24 | 42 |
| 2023 June | 20 | 22 | 42 |
| 2023 May | 25 | 29 | 54 |
| 2023 April | 11 | 13 | 24 |
Show all
