DIAGNOSIS OF DEFEAT OF THE RESPIRATORY MUSCLES IN IDIOPATHIC INFLAMMATORY MYOPATHIES. CLINICAL DISCUSSION


E.N. Skryabina, A.V. Borodkin , A.S. Korotin

SBEI HPE "Saratov State Medical University n.a. V.I. Razumovsky" of RMPH, Saratov
The article presents the case of primary idiopathic polymyositis with high activity complicated by peripheral thrombosis and acute respiratory failure. Differential diagnosis was performed between thromboembolism of pulmonary artery branches and the defeat of the respiratory muscles. The complex survey, including clinical evaluation of the patient (respiratory rate and heart rate, blood pressure), pulse oximetry in both vertical and horizontal positions, the definition of height and mobility of the diaphragm by X-ray method, chest CT scan, electromyography of intercostal muscles, has allowed to make a differential diagnosis, determine the cause of acute respiratory failure, and prevent poor outcome.

About the Autors


Scryabin E.N.: PhD in Medical Sciences, assistant professor at the Department of Hospital Therapy, Medical Faculty of the SBEI HPE Saratov State Medical University n.a. V.I. Razumovsky of RMPH.
Borodkin A.V.: postgraduate student at the Department of Hospital Therapy, Medical Faculty of the SBEI HPE Saratov State Medical University n.a. V.I. Razumovsky of RMPH.
A.S. Korotin - internship doctor at Department of Hospital Therapy of Medical Faculty, SBEI HPE Saratov State Medical University n.a. V.I. Razumovsky of RMPH; e-mail: askorotin@gmail.com


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