儿童皮肌炎35例临床分析

Clinical analysis of 35 patients with juvenile dermatomyositis

目的分析儿童皮肌炎(Juvenile dermatomyositis,JDM)的临床特点。方法采用回顾性分析方法对1990年4月～2010年3月在本院住院的35例JDM患者临床资料进行分析。结果 35例JDM患者有较多并且较严重的并发症如化脓性感染、肺结核、钙质沉着、肌肉挛缩、心脏受累等,激素等治疗后完全缓解31例,部分缓解2例,未愈1例,死亡2例。结论 JDM是慢性活跃性疾病,预后与治疗是否合适有关,严重的并发症仍然普遍存在。

Objective To provide theoretic basis for clinical characteristics of Juvenile Dermatomyositis.Methods Thirty-five patients with Juvenile Dermatomyositis from our hospital were analyzed retrospectively.Results There were so many and serious complications such as pyogenic infections 、pulmonary tuberculosis 、calcinosis 、contracturesand and heart involved et al.In the Thirty-five patients with Juvenile Dermatomyositis,Thirty-one,two,one and two persons had experienced complete remission,partial remission,no response and death respectively.Conclusion Juvenile dermatomyositis is a chronic inflammatory illness.Functional outcomes have become good with modern treatments and serious complications are still common.