摘要
皮肌炎（dermatomyositis，DM）是一种主要累及横纹肌，呈慢性非化脓性炎症改变，并具有特征性皮肤表现的自身免疫性疾病。小儿皮肌炎以广泛的血管炎为病理基础，继发消化道出血常见于文献报道。成人皮肌炎消化系统最常受累部位为食管上段骨骼肌，导致吞咽困难。但成人皮肌炎合并严重的消化道病变，如消化道出血、穿孔、腹腔血肿等较为少见。本史报告1例成人DM合并消化道出血的病例，并进行相关文献复习。
出处
《中华临床免疫和变态反应杂志》
2012年第4期318-320,334,共4页
Chinese Journal of Allergy & Clinical Immunology
参考文献11
-
1杨天簌.小儿皮肤病学[M].上海:上海科技出版社,1985:192.
-
2Ebert EC. Review article: the gastrointestinal complications of myositis [J]. Aliment Pharmacol Ther, 2010, 31: 359 -65.
-
3Guan-Yu Chen, Ming-Fei Liu, J Yu-Yun Lee, et al. Combination of massive mucinosis, dermatomyositis, pyoderma gangrenosum-like ulcer, bullae and fatal intestinal vasculopathy in a young female [J]. Eur J Dermatol, 2005, 15:396-400.
-
4Marie I, Levesque H, Cailleux N, et al. Intravenous immunoglobulin for treatment of gastro-intestinal haemorrhage in dermatomyositis [J]. Ann Rheum Dis, 2001, 60:723-724.
-
5Al-Haddad M, Raimondo M. Upper gastrointestinal bleed from esophageal diverticula in a patient with dermatomyositis [J]. Dig Dis Sci, 2007, 52 : 137-139.
-
6Tweezer-Zaks N, Ben-Horin S, Schiby G, et al. Severe gastrointestinal inflammation in adult dermatomyositis: characterization of a novel clinical association [ J ]. Am J Med Sci, 2006, 332:308-313.
-
7Tsujimura S, Saito K, Tanaka Y. Complete resolution of dermatomyositis with refractory cutaneous vasculitis by intravenous cyclophosphamide pulse therapy [ J ]. Intern Med, 2008, 47 : 1935-1940.
-
8Kawakami T, Mizoguchi M, Saito R, et al. Histopathological evidence of small-vessel vasculitis within the skin and lungs associated with interstitial pneumonia in an adult patient with dermatomyositis [J]. Clin Exp Dermatol, 2008, 33:415-417.
-
9于磊,张堂德,王霞,张帆,邱贤文.以坏死性皮肤血管炎为主要表现的皮肌炎1例[J].临床皮肤科杂志,2007,36(7):451-452. 被引量：1
-
10Wang DX, Shu XM, Tian XL, et al. Intravenous immunoglobulin therapy in adult patients with polymyositis/dermat omyositis : review [J]. Clin Rheumatol, a systematic literature 2012, 31:801-806.
二级参考文献3
-
1陆慰宣.呼吸系统疾病诊断与诊断评析[M].上海:上海科学技术出版社,2004.324-325.
-
2Albrecht J,Atzeni F,Baldini C,et al.Skin involvement and outcome measures in systemic autoimmune diseases[J].Clin Exp Rheumatol,2006,24(1 Suppl 40):S52-S59.
-
3Pectasides D,Koumpou M,Gaglia A,et al.Dermatomyositis associated with breast cancer[J].Anticancer Res,2006,26(3B):2329-2331.
同被引文献18
-
1侯勇,张卓莉,于孟学,张奉春.系统性红斑狼疮并发慢性假性肠梗阻的临床研究[J].北京医学,2005,27(7):402-404. 被引量：20
-
2Marie I,Hachulla E,Levesque H,et al.Intravenous immunoglobulins as treatment of life threatening esophageal involvement in polymyositis and dermatomyositis[J].J Rheumatol,1999,26:2706-2709.
-
3Ebert EC.Review article:the gastrointestinal complications of myositis[J].Aliment Pharmacol Ther,2010,31:359-365.
-
4Gabbard SL1,Lacy BE.Chronic intestinal pseudoobstruction[J].Nutr Clin Pract,2013,28:307-316.
-
5Eshraghi N,Farahmand M,Maerz LL,et al.Adultonset dermatomyositis with severe gastrointestinal manifestations:case report and review of the literature[J].Surgery,1998,123:356-358.
-
6Boardman P,Nolan DJ.Case report:Small intestinal pseudo-obstruction:an unusual manifestation of polymyositis[J].Clin Radiol,1998,53:706-707.
-
7Bohan A,Peter JB.Polymyositis and dermatomyositis(first of two parts)[J].N Engl J Med,1975,292:344-347.
-
8Bohan A,Peter JB.Polymyositis and dermatomyositis(second of two parts)[J].N Engl J Med,1975,292:403-407.
-
9Oh TH,Brumfield KA,Hoskin TL,et al.Dysphagia in inflammatory myopathy:clinical characteristics,treatment strategies,and outcome in 62 patients[J].Mayo Clin Proc,2007,82:441-447.
-
10Horowitz M,McNeil JD,Maddern GJ,et al.Abnormalities of gastric and esophageal emptying in polymyositis and dermatomyositis[J].Gastroenterology,1986,90:434-439.
引证文献3
-
1潘锦婷,易斌.成人皮肌炎合并直肠肛管出血一例[J].临床内科杂志,2022,39(1):55-56.
-
2焦洋,张文,谷俊杰,费允云,徐娜,曾学军.成人多发性肌炎或皮肌炎并发慢性假性肠梗阻的临床特点[J].中华临床免疫和变态反应杂志,2014,8(2):109-112. 被引量：4
-
3张梦然,张玫.成年人皮肌炎合并消化道出血和穿孔八例分析[J].中国医师进修杂志,2017,40(7):601-603. 被引量：1
二级引证文献5
-
1潘锦婷,易斌.成人皮肌炎合并直肠肛管出血一例[J].临床内科杂志,2022,39(1):55-56.
-
2饶志华.甲氨蝶呤联合糖皮质激素治疗多发性肌炎及皮肌炎临床效果分析[J].中国现代医生,2016,54(31):78-80. 被引量：7
-
3龙思丹,陈韵如,鄢泽然,刘瑜,姚树坤.多发性肌炎合并反复肠梗阻1例[J].中日友好医院学报,2020,34(4):250-250. 被引量：1
-
4蒋子涵,张上珠,李晓青.腹痛-排气排便停止-肌力下降[J].中华全科医师杂志,2021,20(2):253-256.
-
5谢怀娅,彭琳一,刘金晶,吴婵媛,陈华,张文,曾小峰,张奉春.应用托珠单抗治疗难治性皮肌炎继发胃肠道血管炎一例[J].中华临床免疫和变态反应杂志,2022,16(5):492-495.
-
1李芹,寿涛,要庆平,陈佩英.30例成人皮肌炎和多发性肌炎的死因分析[J].云南医药,1998,19(3):183-184.
-
2何宴清,钟文俊.成人皮肌炎患者的护理[J].郧阳医学院学报,2006,25(1):51-52. 被引量：6
-
3陈家秀,李桂明.成人皮肌炎与儿童皮肌炎对比分析[J].中华皮肤科杂志,2000,33(1):45-45. 被引量：1
-
4李明东.预防脑出血继发消化道出血三种方法的临床分析[J].临床荟萃,1998,13(8):369-370. 被引量：2
-
5林达.成人皮肌炎男女性别间皮损发生及肌酶改变的分析比较[J].安徽医科大学学报,1997,32(3):250-251.
-
6张东晨,万学峰.皮肌炎回顾性分析[J].河北医药,2014,36(11):1645-1646. 被引量：4
-
7周佳鑫.类风湿关节炎患者如何自我保健[J].健康指南（中老年）,2014,0(8):25-26.
-
8王慧.皮肌炎中医药治疗进展[J].天津中医药,2004,21(5):435-436. 被引量：2
-
9胥兴文,蒋亚辉,杨和荣,万焰.青少年与成人皮肌炎多发性肌炎的临床分析[J].四川医学,2010,31(9):1292-1293. 被引量：2
-
10潘伦,熊霞,钟建桥.成人皮肌炎42例生活质量调查[J].中国皮肤性病学杂志,2016,30(6):621-624.
