Do you screen for interstitial lung disease in patients with newly diagnosed polymyositis or dermatomyositis in the absence of respiratory symptoms?
Answer from: at Academic Institution
I do screen all newly diagnosed IIM patients with PFTs and chest CT. This has a double purpose:
establishing a baseline of lung function and,
screening for lung cancer.
While the patient might not have lung symptoms on presentation, respiratory involvement can manifest later on the course of ...
This is a very important clinical question, but requires a bit more nuance in order to answer:
We know that certain subtypes of dermatomyositis (DM) or polymyositis (PM) will be associated with higher or lower relative risks of interstitial lung disease (ILD). Moreover, certain subtypes are al...
I would say that we should always look for the presence of underlying ILD in patients with autoimmune inflammatory myopathies (AIM). In our center, we have seen a mini-epidemic of MDA-5 dermatomyositis, usually amyopathic with normal serum CKs but with skin necrosis, dysphagia, and aggressive and ra...
Comments
at Vanderbilt University School of Medicine Yes, I always get a baseline high-res chest and PF...
at Michigan State University College of Human Medicine I agree and have the same practice. It’s alw...