论文部分内容阅读
Jo-1综合征为结缔组织疾病中多发性肌炎(PM)或皮肌炎(DM)中的一种特殊表现,临床少见,报告1例。 患者 女,56岁。因四肢近端肌肉疼痛伴乏力,尤以双下肢为著,不能自行翻身伴发热,体温在37.5℃～38.5℃之间约2个月,时有咳嗽,少量白痰,以“上呼吸道感染”于1996年7月17日收住院。查体:体温38℃,神志清,呼吸平稳,浅表淋巴结无肿大,全身皮肤粗糙,眼眶周皮肤可见红斑,压之不退色。两肺呼吸音低,可闻少许干啰音。心律齐,心率90次/分,未闻杂音。腹软,肝脾未触及。右膝关节活动时疼痛,无红肿,四肢近端肌力Ⅲ级。腱反射存
Jo-1 syndrome is a special manifestation of polymyositis (PM) or dermatomyositis (DM) in connective tissue disease. Female patient, 56 years old. Due to the proximal limb muscle pain with fatigue, especially in the lower extremities, can not stand up with fever, body temperature between 37.5 ℃ ~ 38.5 ℃ for about 2 months, sometimes cough, a small amount of white sputum, “upper respiratory tract infection” On July 17, 1996 admitted to hospital. Physical examination: body temperature 38 ℃, clear consciousness, stable breathing, superficial lymph nodes without swelling, rough skin, orbital week visible erythema, pressure does not fade. Low breath sounds of both lungs can smell a little dry rales. Qi heart rate, heart rate 90 beats / min, no unheard noise. Abdomen soft, liver and spleen not touched. Right knee pain, no swelling, near the end of muscle Ⅲ grade. Tendon reflex deposit