Zhang C, Guo J, Ye G, Zhang D. Successful lung transplantation in RPILD associated with anti-MDA5ab+: A case report.
Medicine (Baltimore) 2025;
104:e41408. [PMID:
39960967 PMCID:
PMC11835130 DOI:
10.1097/md.0000000000041408]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2024] [Accepted: 01/14/2025] [Indexed: 02/20/2025] Open
Abstract
RATIONALE
Lung transplantation in rapidly progressive interstitial lung disease associated with antimelanoma differentiation-associated gene 5 antibody positive may be a rescue therapy in case of medical treatment failure and impossible weaning from the ventilatory support.
PATIENT CONCERNS
A 59-year-old man with cough, expectoration, and fever for more than half a month, which aggravated with dyspnea for 4 days.
DIAGNOSES
Rapidly progressive interstitial lung disease was confirmed through chest high-resolution computed tomography and antimelanoma differentiation-associated gene 5 antibody positive.
INTERVENTIONS
The patient was given extracorporeal membrane oxygenation and double lung transplantation.
OUTCOMES
The patient is currently undergoing rehabilitation in a general ward and follow-up.
LESSONS
Lung transplantation should be considered when impossible weaning from the ventilatory support.
Collapse