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논문 기본 정보

자료유형
학술저널
저자정보
Kim Hae Ryung (Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, Korea) Lim Seon Hee (Department of Pediatrics, Pusan National University Children’s Hospital, Busan, Korea) Park Ji Soo (Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, Korea.) Suh Dong In (Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, KoreaDepartment of Pediatrics, Seoul National University College of Medicine, Seoul, Korea) Lee Seungbok (Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, KoreaDepartment of Genomic Medicine, Seoul National University Hospital, Seoul, Korea) Kim Soo Yeon (Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, KoreaDepartment of Genomic Medicine, Seoul National University Hospital, Seoul, KoreaDepartment of Pediatrics,) Chae Jong Hee (Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, KoreaDepartment of Genomic Medicine, Seoul National University Hospital, Seoul, KoreaDepartment of Pediatrics,) Kim Seong Heon (Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, KoreaDepartment of Pediatrics, Seoul National University College of Medicine, Seoul, Korea)
저널정보
대한류마티스학회 대한류마티스학회지 Journal of Rheumatic Diseases Vol.31 No.3
발행연도
2024.7
수록면
182 - 187 (6page)
DOI
10.4078/jrd.2023.0075

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Stimulator of interferon gene (STING)-associated vasculopathy with onset in infancy (SAVI) is an extremely rare autoinflammatory disease. We present the case of a female Korean patient with early-onset interstitial lung disease who was initially suspected to have systemic lupus erythematosus (SLE) but was ultimately diagnosed with SAVI. The patient exhibited signs of interstitial lung disease and cutaneous manifestations before the age of 1 year and continued to have recurrent fever accompanied by pulmonary infiltrates. Based on positive findings for antibodies associated with SLE, such as antinuclear antibodies and anti-double-stranded DNA, the pulmonary involvement was considered a manifestation of SLE. Another significant symptom was recurrent skin ulceration, which led to partial spontaneous amputation of most of the toes due to inflammation. Given the early onset of interstitial lung disease, severe skin ulcers, and symptoms resembling SLE, autoinflammatory syndrome, especially SAVI was suspected. Following confirmation by genetic testing at age 29 years, the patient was started on tofacitinib, a Janus kinase inhibitor. Despite the prolonged use of multiple immunosuppressive therapies, the patient’s lung condition continued to worsen, ultimately requiring lung transplantation. This observational report highlights the importance of considering SAVI as a potential diagnosis when manifestations of interstitial lung disease are observed during infancy. Early proactive treatment is crucial for lung involvement, as this can have long-term effects on patient’s prognosis.

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