第321例 皮疹—肌无力—吞咽困难—皮下气肿
摘要
病历摘要
患者男,48岁.因皮肤红斑破溃伴肌无力8个月,咽痛、吞咽困难4个月于2012年2月入北京协和医院风湿免疫科.患者8个月前出现眶周、颜面、前胸、双肘关节伸侧红斑,部分破溃,伴四肢近端肌无力,上肢上举、下肢蹲起困难,伴双肩、双腕关节痛,无肿胀、晨僵;当地医院查肌酸激酶(CK)升高(不详),肌电图示肌源性损害,诊为“皮肌炎”,予泼尼松40 mg/d治疗后症状好转.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2014年第37期2951-2953,共3页
National Medical Journal of China
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