Nephrotic Syndrome as an Extramuscular Manifestation of Anti-EJ Antibody-Positive Dermatomyositis: A Case Report and Review of the Literature

Renal involvement is underestimated as an extramuscular manifestation of dermatomyositis (DM). Here, we describe a 67-year-old woman with anti-glycyl-transfer ribonucleic acid synthetase (anti-EJ) antibody and anti-ribonucleoprotein antibody-positive DM complicated by systemic sclerosis, who develop...

Full description

Saved in:
Bibliographic Details
Main Authors: Syoko Tsubouchi, Takahiro Mizuuchi, Yusuke Yamamoto, Daiki Fujimori, Kayo Ishii, Mayu Tago, Eri Kato, Hiroaki Mori, Haeru Hayashi, Koichiro Tahara, Tetsuji Sawada
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2022/1233522
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832562086206504960
author Syoko Tsubouchi
Takahiro Mizuuchi
Yusuke Yamamoto
Daiki Fujimori
Kayo Ishii
Mayu Tago
Eri Kato
Hiroaki Mori
Haeru Hayashi
Koichiro Tahara
Tetsuji Sawada
author_facet Syoko Tsubouchi
Takahiro Mizuuchi
Yusuke Yamamoto
Daiki Fujimori
Kayo Ishii
Mayu Tago
Eri Kato
Hiroaki Mori
Haeru Hayashi
Koichiro Tahara
Tetsuji Sawada
author_sort Syoko Tsubouchi
collection DOAJ
description Renal involvement is underestimated as an extramuscular manifestation of dermatomyositis (DM). Here, we describe a 67-year-old woman with anti-glycyl-transfer ribonucleic acid synthetase (anti-EJ) antibody and anti-ribonucleoprotein antibody-positive DM complicated by systemic sclerosis, who developed nephrotic syndrome concurrently with the exacerbation of DM, as indicated by incremental serum creatine kinase levels, high-intensity lesions on muscle magnetic resonance imaging, and active interstitial pneumonitis on chest computed tomography. Renal biopsy revealed the presence of immune-deposition in the glomerulus by immunofluorescence. To our knowledge, this is the first report describing the coexistence of anti-EJ antibody-positive DM and nephrotic syndrome. More reports of similar cases are warranted to substantiate the association.
format Article
id doaj-art-e418f763b2c6429ca2e1aea4955c3dc7
institution Kabale University
issn 2090-6897
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Case Reports in Rheumatology
spelling doaj-art-e418f763b2c6429ca2e1aea4955c3dc72025-02-03T01:23:34ZengWileyCase Reports in Rheumatology2090-68972022-01-01202210.1155/2022/1233522Nephrotic Syndrome as an Extramuscular Manifestation of Anti-EJ Antibody-Positive Dermatomyositis: A Case Report and Review of the LiteratureSyoko Tsubouchi0Takahiro Mizuuchi1Yusuke Yamamoto2Daiki Fujimori3Kayo Ishii4Mayu Tago5Eri Kato6Hiroaki Mori7Haeru Hayashi8Koichiro Tahara9Tetsuji Sawada10Department of RheumatologyDepartment of RheumatologyDepartment of RheumatologyDepartment of RheumatologyDepartment of RheumatologyDepartment of RheumatologyDepartment of RheumatologyDepartment of RheumatologyDepartment of RheumatologyDepartment of RheumatologyDepartment of RheumatologyRenal involvement is underestimated as an extramuscular manifestation of dermatomyositis (DM). Here, we describe a 67-year-old woman with anti-glycyl-transfer ribonucleic acid synthetase (anti-EJ) antibody and anti-ribonucleoprotein antibody-positive DM complicated by systemic sclerosis, who developed nephrotic syndrome concurrently with the exacerbation of DM, as indicated by incremental serum creatine kinase levels, high-intensity lesions on muscle magnetic resonance imaging, and active interstitial pneumonitis on chest computed tomography. Renal biopsy revealed the presence of immune-deposition in the glomerulus by immunofluorescence. To our knowledge, this is the first report describing the coexistence of anti-EJ antibody-positive DM and nephrotic syndrome. More reports of similar cases are warranted to substantiate the association.http://dx.doi.org/10.1155/2022/1233522
spellingShingle Syoko Tsubouchi
Takahiro Mizuuchi
Yusuke Yamamoto
Daiki Fujimori
Kayo Ishii
Mayu Tago
Eri Kato
Hiroaki Mori
Haeru Hayashi
Koichiro Tahara
Tetsuji Sawada
Nephrotic Syndrome as an Extramuscular Manifestation of Anti-EJ Antibody-Positive Dermatomyositis: A Case Report and Review of the Literature
Case Reports in Rheumatology
title Nephrotic Syndrome as an Extramuscular Manifestation of Anti-EJ Antibody-Positive Dermatomyositis: A Case Report and Review of the Literature
title_full Nephrotic Syndrome as an Extramuscular Manifestation of Anti-EJ Antibody-Positive Dermatomyositis: A Case Report and Review of the Literature
title_fullStr Nephrotic Syndrome as an Extramuscular Manifestation of Anti-EJ Antibody-Positive Dermatomyositis: A Case Report and Review of the Literature
title_full_unstemmed Nephrotic Syndrome as an Extramuscular Manifestation of Anti-EJ Antibody-Positive Dermatomyositis: A Case Report and Review of the Literature
title_short Nephrotic Syndrome as an Extramuscular Manifestation of Anti-EJ Antibody-Positive Dermatomyositis: A Case Report and Review of the Literature
title_sort nephrotic syndrome as an extramuscular manifestation of anti ej antibody positive dermatomyositis a case report and review of the literature
url http://dx.doi.org/10.1155/2022/1233522
work_keys_str_mv AT syokotsubouchi nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature
AT takahiromizuuchi nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature
AT yusukeyamamoto nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature
AT daikifujimori nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature
AT kayoishii nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature
AT mayutago nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature
AT erikato nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature
AT hiroakimori nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature
AT haeruhayashi nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature
AT koichirotahara nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature
AT tetsujisawada nephroticsyndromeasanextramuscularmanifestationofantiejantibodypositivedermatomyositisacasereportandreviewoftheliterature