Antisynthetase syndrome

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Antisynthetase syndrome
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Myositis, arthritis, interstitial lung disease, Raynaud's phenomenon, mechanic's hands, fever
Complications	Pulmonary fibrosis, pulmonary hypertension
Onset	Typically in adulthood
Duration	Chronic
Types	N/A
Causes	Autoimmune response against aminoacyl tRNA synthetases
Risks	Genetic predisposition, environmental factors
Diagnosis	Clinical examination, serological tests for antisynthetase antibodies
Differential diagnosis	Polymyositis, dermatomyositis, systemic sclerosis, rheumatoid arthritis
Prevention	N/A
Treatment	Immunosuppressive therapy, corticosteroids, physical therapy
Medication	N/A
Prognosis	Variable; depends on severity of lung involvement and response to treatment
Frequency	Rare
Deaths	N/A

Antisynthetase syndrome is a rare autoimmune condition characterized by the presence of autoantibodies against aminoacyl-tRNA synthetases. It is associated with a variety of clinical manifestations, primarily affecting the muscles, lungs, and joints.

Clinical Features

The clinical presentation of antisynthetase syndrome can vary widely among patients. The most common features include:

Myositis

Myositis, or inflammation of the muscles, is a hallmark of antisynthetase syndrome. Patients often experience muscle weakness, particularly in the proximal muscles, such as those of the shoulders and hips.

Interstitial Lung Disease

Interstitial lung disease (ILD) is another major component of antisynthetase syndrome. It involves inflammation and scarring of the lung tissue, leading to symptoms such as cough and shortness of breath.

Arthritis

Arthritis, or inflammation of the joints, is frequently observed in patients with antisynthetase syndrome. It can cause joint pain and swelling, often affecting the small joints of the hands.

Raynaud's Phenomenon

Raynaud's phenomenon is characterized by episodes of reduced blood flow to the fingers and toes, often triggered by cold or stress. This can lead to color changes, numbness, and pain in the affected areas.

Mechanic's Hands

Mechanic's hands refer to rough, cracked skin on the fingers and palms, resembling the hands of someone who works with machinery. This is a distinctive feature of antisynthetase syndrome.

Autoantibodies

The presence of specific autoantibodies is a defining feature of antisynthetase syndrome. These include:

• Anti-Jo-1
• Anti-PL-7
• Anti-PL-12
• Anti-EJ
• Anti-OJ

These autoantibodies target aminoacyl-tRNA synthetases, enzymes involved in protein synthesis.

Diagnosis

The diagnosis of antisynthetase syndrome is based on a combination of clinical features, the presence of specific autoantibodies, and supportive laboratory and imaging studies. Muscle biopsy and pulmonary function tests may also be utilized.

Treatment

Treatment of antisynthetase syndrome typically involves immunosuppressive therapy to control inflammation and prevent disease progression. Commonly used medications include:

• Corticosteroids
• Methotrexate
• Azathioprine
• Mycophenolate mofetil

In cases of severe interstitial lung disease, additional therapies such as cyclophosphamide or rituximab may be considered.

Prognosis

The prognosis of antisynthetase syndrome varies depending on the severity of organ involvement and response to treatment. Early diagnosis and appropriate management are crucial for improving outcomes.

See Also

• Autoimmune disease
• Myositis
• Interstitial lung disease
• Raynaud's phenomenon

External Links

• [American College of Rheumatology](https://www.rheumatology.org/)
• [Myositis Association](https://www.myositis.org/)

Rheumatologic diseases

Arthritis is often used to refer to any disorder that affects the joints. Rheumatic diseases usually affect joints, tendons, ligaments, bones, and muscles. Rheumatologic diseases usually affect joints, tendons, ligaments, bones, and muscles.

Connective Tissue Diseases

Rheumatology and	Connective Tissue Diseases
Ankylosing spondylitis	Arthritis
Arthritis and Rheumatic diseases	Autoimmune diseases
Autoinflammatory diseases	Behçet’s disease
Bursitis	Giant cell arteritis
Gout	Juvenile arthritis
Knee problems	Lupus
Osteoarthritis	Polymyalgia rheumatica
Psoriatic arthritis	Reactive arthritis
Rheumatoid arthritis	Scleroderma
Sjögren’s syndrome	Systemic lupus erythematosus (Lupus)
Tendinitis	Rheumatologic diseases