Case Report


Pneumomediastinum: A severe complication of dermatomyositis

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1 MBBS, Mackay Base Hospital, 475 Bridge Road, Mackay, Queensland, Australia

2 FRACP, Mackay Base Hospital, 475 Bridge Road, Mackay, Queensland, Australia

Address correspondence to:

Pranav Kumar

FRACP, Mackay Base Hospital, 475 Bridge Road, Mackay, Queensland, 4740,

Australia

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Article ID: 101247Z01SL2021

doi: 10.5348/101247Z01SL2021CR

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How to cite this article

Lee SZ, Syed MT, Kumar P. Pneumomediastinum: A severe complication of dermatomyositis. Int J Case Rep Images 2021;12:101247Z01SL2021.

ABSTRACT


Dermatomyositis is an autoimmune disease that is considered a subset of idiopathic inflammatory myopathy. It is characterized by a skin rash with progressive muscle weakness. Pneumomediastinum is a rapidly progressive complication of dermatomyositis, which is hypothesized to be a result of ruptured subpleural cysts, pulmonary vasculopathy, and steroid-mediated weakening of alveolar walls. This complication is associated with a high mortality rate of 30%. Hence, it should be rapidly investigated and treated when there is a high clinical suspicion. In this article, we report a rare case of patient with dermatomyositis (DM) who developed pneumomediastinum and discussed a literature review of this occurrence.

Keywords: Dermatomyositis, Dyspnoea, Pneumomediastinum

SUPPORTING INFORMATION


Author Contributions

Shawn Zhenhui Lee - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Mohammed Tousif Syed - Interpretation of data, Drafting the article, Final approval of the version to be published

Pranav Kumar - Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2021 Shawn Zhenhui Lee et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.