2017
DOI: 10.4081/reumatismo.2017.923
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First report of anti-TIF1γ dermatomyositis in a patient with myelodysplastic syndrome

Abstract: SUMMARYInflammatory myopathies as para-neoplastic phenomena were first described by Sterz in 1916. Recently, myositis specific autoantibodies were described in cancer-associated myositis. Anti-transcription intermediary factor 1 gamma (anti-TIF1γ) antibodies have been found in both young adults affected by juvenile dermatomyositis and in elderly patients with cancer-associated myositis. In this regard, we report herein the first case of anti-TIF1γ dermatomyositis secondary to a myelodysplastic syndrome.

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Cited by 7 publications
(5 citation statements)
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“…Clinically, anti-TIF-1 positive patients can be classified in two age groups: (1) younger than 40-year-old patients, with a classical DM at presentation and (2) older than 40-year-old patients, with cancer-associated myositis [ 70 ]. Solid tumors, like ovary, lung and breast cancer are the most commonly associated neoplasia, but hematologic disorders and malignancies have been described as well [ 79 ]. In general anti-TIF-1γ patients exhibit a hypo-myopathic DM with reduced prevalence of systemic involvement, namely ILD, Raynaud’s phenomenon and arthritis [ 80 ].…”
Section: Myositis-specific Autoantibodiesmentioning
confidence: 99%
“…Clinically, anti-TIF-1 positive patients can be classified in two age groups: (1) younger than 40-year-old patients, with a classical DM at presentation and (2) older than 40-year-old patients, with cancer-associated myositis [ 70 ]. Solid tumors, like ovary, lung and breast cancer are the most commonly associated neoplasia, but hematologic disorders and malignancies have been described as well [ 79 ]. In general anti-TIF-1γ patients exhibit a hypo-myopathic DM with reduced prevalence of systemic involvement, namely ILD, Raynaud’s phenomenon and arthritis [ 80 ].…”
Section: Myositis-specific Autoantibodiesmentioning
confidence: 99%
“…In the majority of these cases, PM/DM preceded hematologic malignancy onset - similar to what is seen in solid tumor literature [6]. MDS, however, has rarely been reported in connection with DM despite a known link between MDS and development of other autoimmune diseases like vasculitis and seronegative arthritis [7-10]. Palterer et al recently described a patient with anti-TIF1gamma antibody-positive DM diagnosed with low-risk MDS after an extensive workup for malignancy.…”
Section: Discussionmentioning
confidence: 59%
“…Palterer et al recently described a patient with anti-TIF1gamma antibody-positive DM diagnosed with low-risk MDS after an extensive workup for malignancy. MDS was stable without excess blasts and required no therapy; importantly, the disease course of DM was not discussed [10]. Case reports of DM associated with MDS are summarized in Table 1.…”
Section: Discussionmentioning
confidence: 99%
“…La anemia según su severidad se clasifica en leve, moderada y severa según el valor de la hemoglobina de 11-11.9g/L en mujeres y de 11-12.9g/L en varones, se recalca que el grado de severidad de la anemia depende del periodo de hospitalización que tenga el paciente, además de la gravedad de patologías precedentes de quién lo padezca (Velásquez et al, 2016). La anemia presente en el adulto mayor (mayor a 60 años) no es debido al envejecimiento propiamente sino principalmente a un déficit de hierro en la ingesta, que se desencadena en varias enfermedades como renales crónicas (Cappellini et al, 2017), respuestas inflamatorias por infecciones virales (VIH, hepatitis B y C) (Harding et al, 2020), bacterianas (tuberculosis pulmonar, meningitis) (Mortazavi-Moghaddam et al, 2022), infecciones crónicas del tracto urinario (Abou Heidar et al, 2019), infección pélvica crónica (Curry et al, 2019), inflamaciones crónicas asociadas a lupus eritematoso sistémico (Ostendorf et al, 2020), artritis reumatoidea (Chueh et al, 2020), enfermedades inflamatorias del intestino grueso (Joosten, 2018), enfermedades del tejido conectivo como dermatomiositis (Palterer et al, 2017), tumores malignos (Stauder et al, 2018), mieloma múltiple (Wildes y Campagnaro, 2017).…”
Section: Introductionunclassified