皮肤型皮肌炎临床分析

A Clinical Analysis of Cutaneous Type Dermatomyositis

皮肤型皮肌炎临床分析俞宝田（中国医学科学院，中国协和医科大学，协和医院，北京１００７３０）１９９１年Ｅｕｗｅｒ［１］首先提出无肌病性皮肌炎（ａｍｙｏｐａｔｈｉｃｄｅｒｍａｔｏｍｙｏｓｉｔｉｓ），并报告了６例患者。其诊断标准为：①具有皮肌炎特征性皮损，...

Abstract This paper reports nine patients with the classic cutaneous findings of dermatomyositis who did not develop clinical or laboratory evidence of muscle disease for at least 2 years after onset of their skin manifestations. Such patients represent 3.5% of our total experience with dermatomyositis patients during a 12 years period. None of the patients had evidence of malignancy. Each of five patients treated with oral prednisone for their cutaneous lesion or mild myositis after onset 0f their skin manifestations 3～12 years and had marked improvement. The author emphasizes that the cutaneous manifestations of dermatomyositis are pathognomonic of this disease and the term of this desease proposes cutaneous type dermatomyositis better than amyopathic dermatomyositis.