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皮肌炎是骨骼肌和皮肤的非特异性炎症疾病。其临床表现较复杂而多样化,故易误诊.最近我院曾收治一例.现报告如下.病例介绍:患者女性,51岁,家庭妇女.近一年间歇发生暗红色皮疹;四个月来始有乏力、纳差、恶心呕吐、腹胀。十七年前曾有急性肝炎病史,此后未再复发.1987年8月19日以病毒性肝炎转我院.入院时体检:皮肤、巩膜无黄染、四肢伸侧及臀部可见充血性暗红色片状斑丘疹。蜘蛛痣(+),肝掌(-),浅表淋巴结无肿大,头颅器官、心肺均未见异常,肝脏肋下未及,剑下2cm 触疼明显,脾脏肋下未及,双下肢踝部轻度可凹性浮肿,神经系统检查正常。实验室检查肝功:SGPT638μ,HBVM(-)。入院后体温波动于37～38℃之间,皮疹持续不褪,并出现全身肌肉疼痛及
Dermatomyositis is a nonspecific inflammatory disease of skeletal muscle and skin. The clinical manifestations of more complex and diverse, so easy to misdiagnosis. Recently admitted to our hospital had a case .Reports are as follows.Patients description: Female patient, 51 years old, domestic women .In the past year intermittent dark red rash; four months Have weakness, anorexia, nausea and vomiting, bloating. Seventeen years ago there was a history of acute hepatitis, and no further recurrence .Viral hepatitis was transferred to our hospital on August 19, 1987. Physical examination on admission: skin, sclera without yellow dye, extensor limbs and buttocks visible congestive dark red Flaky rash. Spider nevus (+), liver palms (-), superficial lymph nodes without swelling, cranial organs, heart and lung were no exception, the ribs did not break under the sword, 2cm under the sword touch pain obvious, splenic ribs under the ribs, lower extremity ankle Ministry of mild concave edema, nervous system examination was normal. Laboratory tests Liver function: SGPT638μ, HBVM (-). After admission, the body temperature fluctuated between 37 and 38 ° C. The rash persisted and systemic muscle aches occurred.