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We report the case of a 49-year-old man who presented with pneumatosis cystoides intestinalis associated with polymyositis and interstitial pneumonia. Three months after the administration of prednisolone and cyclosporine, he noticed mild abdominal distension, and a radiographic examination showed intraperitoneal free gas and intramural gas, suggestive of pneumatosis cystoides intestinalis (PCI). Additional treatment with a combination of doxycycline and high-dose oxygen therapy was effective in relieving the clinical symptoms and reducing the intramural gas.

作者:Yoko, Wada;Naoya, Murayama;Shintaro, Hirose;Hian, In;Takeshi, Kuroda;Satoshi, Ito;Masaaki, Nakano;Fumitake, Gejyo

来源:Modern rheumatology 2004 年 14卷 3期

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作者:
Yoko, Wada;Naoya, Murayama;Shintaro, Hirose;Hian, In;Takeshi, Kuroda;Satoshi, Ito;Masaaki, Nakano;Fumitake, Gejyo
来源:
Modern rheumatology 2004 年 14卷 3期
We report the case of a 49-year-old man who presented with pneumatosis cystoides intestinalis associated with polymyositis and interstitial pneumonia. Three months after the administration of prednisolone and cyclosporine, he noticed mild abdominal distension, and a radiographic examination showed intraperitoneal free gas and intramural gas, suggestive of pneumatosis cystoides intestinalis (PCI). Additional treatment with a combination of doxycycline and high-dose oxygen therapy was effective in relieving the clinical symptoms and reducing the intramural gas.