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May 20, 2026American Journal of Respiratory and Critical Care Medicine

B43-38 Out of Breath and Out of Sync: A Case of Autoimmune Crossfire

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Authors

HYH YemonEDE DeschenesABA M Boulos

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Overview

Case report reveals acute exacerbation of lung disease in a patient with polymyositis and autoimmune hepatitis, indicating complex care needs.

Key Points

  • This case presents an acute exacerbation of interstitial lung disease (ILD) in the context of polymyositis and autoimmune hepatitis.
  • Patient observed with a history of polymyositis and autoimmune hepatitis
  • Clinical evaluations included chest CTA and echocardiogram
  • Managed with high-dose corticosteroids and ongoing immunosuppressive therapy
  • Patient documented a decline with O2 saturation at 89% and RVSP of 53 mmHg indicating pulmonary hypertension
  • Significant improvement noted with high-dose corticosteroids and weaning to low-flow oxygen
  • Planned right-heart catheterization for further evaluation of portopulmonary hypertension

Cite This Study

Yemon et al. (2026) studied this question.

synapsesocial.com/papers/6a0d4fa9f03e14405aa9b11ahttps://doi.org/10.1093/ajrccm/aamag162.2564
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