1例74岁的林场主患有表现为皮肌炎症状的莱姆病

• 作 者: 戴慧光
• 出 处: 国外医学.皮肤性病学分册
• 发表日期: 1996年02期
• 关键词: 莱姆病 肌炎症状 水肿性红斑 血清谷草转氨酶 游走性红斑 皮肤萎缩 肌无力 蜱叮咬 乳酸脱氢酶 近端

1例男性患者,74岁,林场主。因肩部及大腿肌痛、肌无力伴有面部、手部及前臂红斑3个月而入院。曾用甲基强的松龙16mg/d治疗无效。入院体检见双手弥漫的瘙痒性水肿性红斑;前臂有硬结及局限性皮肤萎缩;面部有淡紫色斑,肩及大腿对称性近端肌肉显著无力及萎缩。自诉有多次蜱叮咬史,否认患过游走性红斑。化验见肌酸激酶(CK)为195U/L(正常<70)。MB同功酶5.6U/L,醛缩酶4.6U/L(正常<3),血清谷草转氨酶25U/L,乳酸脱氢酶

One male patient, 74 years old, owner. Due to shoulder and thigh muscle pain, muscle weakness accompanied by facial, hand and forearm erythema for 3 months and admitted. Had methylprednisolone 16mg / d treatment is invalid. Admission to see his hands full of diffuse itching edematous erythema; forearm induration and localized skin atrophy; facial lilac spots, shoulder and thigh symmetry of the proximal weakness and atrophy. Private prosecution has many times history of tick bites, denied suffering from migratory erythema. The test showed creatine kinase (CK) was 195U / L (normal <70). MB isozyme 5.6U / L, aldolase 4.6U / L (normal <3), serum aspartate aminotransferase 25U / L, lactate dehydrogenase