Skip to main content

Advertisement

Log in

Signal recognition particle (SRP) positive myositis in a patient with cryptogenic organizing pneumonia (COP)

  • Case Report
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

We report of a 46-year-old female patient with cryptogen organizing pneumonia preceeding the rare SRP positive necrotising myositis without cardiac involvement and no sign of dysphagia. Myositis showed full regression without oral immune suppression but with extracorporeal treatment, performed as a combined therapy of plasmaexchange and immunoadsorption. After 33-month of treatment, anti-SRP antibodies were not detectable any more.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. British Thoracic Society Interstitial Lung Disease Guideline Group (2008) Interstitial lung disease guideline. Thorax 63(Suppl V):v1–v58

    Article  Google Scholar 

  2. American Thoracic Society/European Respiratory Society (2002) International multidisciplinary consensus classification of the idiopathic interstitial pneumonias. Am J Respir Crit Care Med 165:277–304

    Google Scholar 

  3. Katzenstein AL, Mukhopadhyay S, Myers JL (2008) Diagnosis of usual interstitial pneumonia and distinction from other fibrosing interstitial lung diseases. Hum Pathol 39:1275–1294. doi:10.1016/j.humpath.2008.05.009

    Article  PubMed  Google Scholar 

  4. Cordier JF, Costabel U, duBois R (2004) Cryptogenic organizing pneumonia. Orphanet encylcopedia, October 2004. http://www.orphanet/data/patho/GB/uk-CryptoOrgPneum.pdf

  5. Kao AH, Lacomis D, Lucas M, Fertig N, Oddis CV (2004) Anti-signal recognition particle autoantibody in patients with and patients without idiopathic inflammatory myopathy. Arthritis Rheum 50:209–215. doi:10.1002/art.11484

    Article  CAS  PubMed  Google Scholar 

  6. Nelson RP, Ballow M (2003) Immunomodulation and immunotherapy: drugs, cytokines, cytokine receptors and antibodies. J Allergy Clin Immunol 111:S720–S732. doi:10.1067/mai.2003.146

    Article  CAS  PubMed  Google Scholar 

  7. Dittrich E, Schmaldienst S, Langer M, Jansen M, Hörl WH, Derfler K (2002) Immunoadsorption and plasma exchange in pregnancy. Kidney Blood Press Res 25:232–239. doi:10.1159/000066343

    Article  CAS  PubMed  Google Scholar 

  8. Schmaldienst S, Müllner M, Goldammer A, Spitzauer S, Banyai S, Hörl WH, Derfler K (2001) Intravenous immunoglobulin application following immunoadsorption: benefit or risk in patients with autoimmune diseases? Rheumatology 40:513–521. doi:10.1093/rheumatology/40.5.513

    Article  CAS  PubMed  Google Scholar 

  9. Hengstman GJ, ter Laak HJ, Vree Egberts WT, Lundberg IE, Moutsopoulos HM, Vencovsky J, Doria A, Mosca M, van Venrooij WJ, van Engelen BG (2006) Anti-signal recognition particle autoantibodies: marker of a necrotising myopathy. Ann Rheum Dis 65:1635–1638. doi:10.1136/ard.2006.052191

    Article  CAS  PubMed  Google Scholar 

  10. Knoell KA, Hook M, Grice P, Hendrix J (1999) Dermatomyositis associated with bronchiolitis obliterans organizing pneumonia. J Am Acad Dermatol 40:328–330. doi:10.1016/S0190-9622(99)70478-0

    Article  CAS  PubMed  Google Scholar 

  11. Dalakas MC, Hohlfeld R (2003) Polymyositis and dermatomyositis. Lancet 362:971–982. doi:10.1016/S0140-6736(03)14368-1

    Article  CAS  PubMed  Google Scholar 

  12. Choi EHS, Isenberg DA (2002) Treatment of dermatomyositis and polymyositis. Rheumatology 41:7–13. doi:10.1093/rheumatology/41.1.7

    Article  Google Scholar 

  13. Brouwer R, Hengstman GJ, Vree Egberts W, Ehrfeld H, Bozic B, Ghirardello A, Grøndal G, Hietarinta M, Isenberg D, Kalden JR, Lundberg I, Moutsopoulos H, Roux-Lombard P, Vencovsky J, Wikman A, Seelig HP, van Engelen BG, van Venrooij WJ (2001) Autoantibody profiles in sera of European patients with myositis. Ann Rheum Dis 60:116–123. doi:10.1136/ard.60.2.116

    Article  CAS  PubMed  Google Scholar 

  14. Wild K, Rosendal KR, Sinning I (2004) A structural step into the SRP cycle—microreview. Mol Microbiol 53:357–363. doi:10.1111/j.1365-2958.2004.04139.x

    Article  CAS  PubMed  Google Scholar 

  15. Kalenian M, Zweiman B (1997) Inflammatory myopathy, bronchiolitis obliterans/organizing pneumonia and anti-Jo-1 antibodies—an interesting association. Clin Diagn Lab Immunol 4:236–240

    CAS  PubMed  Google Scholar 

  16. Imaski T, Tanaka S, Ogura T, Ishikawa A, Takahashi T (1996) Polymyositis and Sjögren’s syndrome associated with bronchiolitis obliterans organizing pneumonia. Intern Med 35:231–235. doi:10.2169/internalmedicine.35.231

    Article  Google Scholar 

  17. Fata F, Rathore R, Schiff C, Herzlich BC (1997) Bronchiolitis obliterans organizing pneumonia as the first manifestation of polymyositis. South Med J 90:227–230

    CAS  PubMed  Google Scholar 

  18. Tazelaar HD, Viggiano RW, Pickersgill J, Colby TV (1990) Interstitial lung disease in polymyositis and dermatomyositis: clinical features and prognosis as correlated with histological findings. Am Rev Respir Dis 141:727–733

    CAS  PubMed  Google Scholar 

  19. Lee CS, Chen TL, Tzen CY, Lin FJ, Peng MJ, Wu CL, Chen PJ (2002) Idiopathic inflammatory myopathy with diffuse alveolar damage. Clin Rheumatol 21:391–396. doi:10.1007/s100670200104

    Article  PubMed  Google Scholar 

  20. Suzuki S, Satoh T, Sato S, Otomo M, Hirayama Y, Sato H, Kawai M, Ishihara T, Suzuki N, Kuwana M (2008) Clinical utility of anti-signal recognition particle antibody in the differential diagnosis of myopathy. Rheumatology 47:1539–1542. doi:10.1093/rheumatology/ken325

    Article  CAS  PubMed  Google Scholar 

  21. Rouster-Stevens KA, Pachman LM (2008) Autoantibody to signal recognition particle in African American girls with juvenile polymyositis. J Rheumatol 35:927–929

    CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We want to thank Dr. Hilde Veterale and Prof. Gerhard Mostbeck from the Department of Radiology, Wilhelminenspital for their help.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Felix Wantke.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wantke, F., Kneussl, M., Hubner, M. et al. Signal recognition particle (SRP) positive myositis in a patient with cryptogenic organizing pneumonia (COP). Rheumatol Int 30, 1361–1365 (2010). https://doi.org/10.1007/s00296-009-1059-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-009-1059-4

Keywords

Navigation