Autoimmune inflammatory myopathy with cardiac tamponade. Case report

Authors

  • Goethe Salomón Sacoto Flores Médico. Especialista en Medicina Reumatología. Universidad de Cuenca. Facultad de Ciencias Médicas. Docente de la carrera de Medicina. Cuenca-Azuay-Ecuador. https://orcid.org/0000-0002-8114-0114
  • Wilson Aquiles Valdiviezo Vicuña Doctor en Medicina y Cirugía. Especialista en Reumatología. Hospital Homero Castanier Crespo. Reumatología. Consulta externa. Azogues-Cañar-Ecuador. https://orcid.org/0000-0002-7633-9655
  • Juan Carlos Orellana Rodríguez Médico. Especialista en Medicina Interna. Hospital Homero Castanier Crespo. Unidad de Medicina Interna. Azogues-Cañar-Ecuador.
  • Jaime Bolivar Cajamarca Llauca Médico. Especialista en Anatomía Patológica. Hospital Homero Castanier Crespo. Laboratorio de Anatomía Patológica. Área de Patología. Azogues-Cañar-Ecuador. https://orcid.org/0000-0003-1412-1228

DOI:

https://doi.org/10.18537/RFCM.40.02.07

Keywords:

myopathies, pericardial effusion, myocarditis

Abstract

Introduction: The idiopathic inflammatory myopathies (IIM) are a group of connective tissue diseases characterized by muscle inflammation and clinical involvement of multiple organs such as: skin, lung, heart and gastrointestinal tract.

Clinical case: a case of IIM with muscle weakness, myocarditis, pericardial effusion, dysphagia and interstitial lung disease (ILD) is presented. The association of myocarditis and ILD can occur in up to 35% of cases. Immunosuppressive treatment was applied, the favorable evolution with clinical improvement of muscle weakness, dysphagia and gradual decrease in blood levels of muscle enzymes.

Conclusion: Cardiac involvement (myocarditis and pericardial effusion) in IIM is uncommon; however, it is associated with higher morbidity and mortality

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Published

2022-08-09

Issue

Vol. 40 No. 2 (2022): Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca

Section

Clinical Case

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Copyright (c) 2022 Goethe Salomón Sacoto Flores, Wilson Aquiles Valdiviezo Vicuña , Juan Carlos Orellana Rodríguez, Jaime Bolivar Cajamarca Llauca

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