[Clinical Picture] Pneumatosis cystoides intestinalis in overlap syndrome

A 76-year-old woman with systemic sclerosis–myositis overlap being treated with mycophenolic acid and hydroxychloroquine was admitted for weight loss of 19 kg over 1 year, myositis relapse, new constellation of pancytopenia (haemoglobin 6·7 g/dL, white blood cell count 1·82 × 109 per L, and platelet count 88 × 109 per L), proteinuria (0·3 g per day), and low complement C3 concentrations (53 mg/dL [normal C3 range 83–193 mg/dL]). She was afebrile with stable blood pressure, heart rate, respiratory rate, and oxygen saturation on room air.