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A Case of Interstitial Lung Disease Associated With Clinically Amyopathic Dermatomyositis: Radiologic-Pathologic Correlation

Okubo, Gosuke MD*; Noma, Satoshi MD*; Nishimoto, Yuko MD*; Sada, Ryuichi MD; Kobashi, Yoichiro MD

doi: 10.1097/RTI.0b013e31826af2b7
Web Exclusive Content-Japanese Society of Thoracic Radiology Meeting Notes

This case report describes a 64-year-old woman with interstitial lung disease associated with clinically amyopathic dermatomyositis. Chest computed tomography revealed consolidations along bronchovascular bundles in the periphery of the lower lungs. Interstitial lung disease developed acutely, and the patient died 3 months after the clinical diagnosis. An autopsy was performed, and a large section of the lung specimen was prepared. Various interstitial lesions including organizing pneumonia, cellular and fibrotic nonspecific interstitial pneumonia, and diffuse alveolar damage were seen in the large section. Correlating the large section and computed tomography images was useful for determining the distribution of diffuse alveolar damage.

Departments of *Radiology

General Internal Medicine

Pathology, Tenri Hospital, Nara, Japan

The authors declare no conflicts of interest.

Reprints: Gosuke Okubo, MD, Department of Radiology, Tenri Hospital, Nara, Japan (e-mail: okubog@gmail.com).

© 2013 Lippincott Williams & Wilkins, Inc.