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Peer-reviewedCC BY-NC-NDInternal Medicine

New-onset Anti-melanoma Differentiation-associated Gene 5 Antibody Positive Clinically Amyopathic Dermatomyositis Following COVID-19

Abstract

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, is a life-threatening respiratory illness that shares clinical similarities with autoimmune diseases, which some patients subsequently develop. We herein report a case of an older Japanese patient who presented with skin rash, relapsing progressive interstitial lung disease, and anti-melanoma differentiation-associated gene 5 (anti-MDA5) antibody seropositivity after COVID-19 infection. Although the patient was elderly, her symptoms improved with the administration of corticosteroids, tacrolimus, and intravenous cyclophosphamide, indicating that this combination may be a viable treatment option for anti-MDA5 antibody-positive pneumonia, which is a complication of COVID-19.

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BibTeX
@article{nakanishi2026newonset,
  title = {{New-onset Anti-melanoma Differentiation-associated Gene 5 Antibody Positive Clinically Amyopathic Dermatomyositis Following COVID-19}},
  author = {Yu Nakanishi and Hirofumi Watanabe and Mako Tsuyuki and Shinji Kakumoto and Masaaki Abe and Kosuke Hamai},
  journal = {Internal Medicine},
  year = {2026},
  month = jul,
  doi = {10.2169/internalmedicine.5163-24},
  url = {https://www.jstage.jst.go.jp/article/internalmedicine/65/14/65_5163-24/_article},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - New-onset Anti-melanoma Differentiation-associated Gene 5 Antibody Positive Clinically Amyopathic Dermatomyositis Following COVID-19
AU  - Yu Nakanishi
AU  - Hirofumi Watanabe
AU  - Mako Tsuyuki
AU  - Shinji Kakumoto
AU  - Masaaki Abe
AU  - Kosuke Hamai
PY  - 2026
DA  - 2026/07/15
JO  - Internal Medicine
DO  - 10.2169/internalmedicine.5163-24
UR  - https://www.jstage.jst.go.jp/article/internalmedicine/65/14/65_5163-24/_article
AB  - Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, is a life-threatening respiratory illness that shares clinical similarities with autoimmune diseases, which some patients subsequently develop. We herein report a case of an older Japanese patient who presented with skin rash, relapsing progressive interstitial lung disease, and anti-melanoma differentiation-associated gene 5 (anti-MDA5) antibody seropositivity after COVID-19 infection. Although the patient was elderly, her symptoms improved with the administration of corticosteroids, tacrolimus, and intravenous cyclophosphamide, indicating that this combination may be a viable treatment option for anti-MDA5 antibody-positive pneumonia, which is a complication of COVID-19.
SN  - 1349-7235
SN  - 0918-2918
ER  -