摘要
目的探讨幼年皮肌炎(JDM)合并软组织钙化临床特点。方法回顾性分析47例JDM患者合并软组织钙化(皮下钙化组)特点,并与89例非皮下钙化组患者(非皮下钙化组)对比。结果皮下钙化组Go,on征、肌挛缩和关节功能障碍比例高于非皮下钙化组[87.23%(41/47)比43.82%(39/89)、68.09%(32,47)比21.35%(19/89)],差异有统计学意义(P〈0.05);皮下钙化组发病后应用最大激素量(换算为泼尼松〉1.5mg/kg)、发病后应用免疫抑制比例及发病时肌酸激酶水平低于非皮下钙化组[17.02%(8/47)比68.54%(61/89)、25.53%(12/47)比88.76%(79/89)、(566.45±240.41)U/L比(1680.12±656.50)U/L],差异有统计学意义(P〈0.05)。结论JDM合并皮肤Gotton征者更易发生皮下钙化;皮下钙化患者发生肌挛缩和关节功能障碍概率高于非皮下钙化患者;对于发病时肌酸激酶并未明显升高者,或许更易发生皮下钙化;早期积极应用激素、免疫抑制剂治疗可以减轻或预防后期钙质沉着的发生或发展。
Objective To analyze the clinical features of juvenile dermatomyositis (JDM) combined with soft-tissue calcification. Methods Forty-seven patients with JDM combined with soft-tissue calcification (soft-tissue calcification group) were retrospectively analyzed, and they were contrasted with 89 patients with non-calcification (non-calcification group). Results The rates of Gotton signe, muscle contracture and joint dysfunction in soft-tissue calcification group were significantly higher than those in non-calcification group: 87.23% (41/47) vs. 43.82% (39/89) and 68.09% (32/47) vs. 21.35% (19/89), and there were statistical differences (P 〈 0.05). The dosage of glueocorticoid (conversion of prednisone measuring more than 1.5 mg/kg), rate of using immunodepressant, level of creatine kinase in soft-tissue calcification group were significantly lower than those in non-calcification group: 17.02% (8/47) vs. 68.54% (61/89), 25.53% (12/47) vs. 88.76% (79/89), (566.45 ± 240.41) U/L vs. (1 680.12 ± 656.50) U/L, and there were statistical differences (P 〈 0.05). Conclusions The patients with JDM combined with Gotton signe are more prone to soft-tissue calcification. The rate of muscle contraeture and joint dysfunction in soft-tissue calcification patients is significantly higher than that in non-calcification patients. For the patients whose creatine kinase are not obviously elevated, they are more prone to soft-tissue calcification. Early active application of glueoeortieoid and immunodepressant therapy can reduce or prevent the occurrence or development of late calciumdeposition.
出处
《中国医师进修杂志》
2015年第10期733-736,共4页
Chinese Journal of Postgraduates of Medicine
关键词
皮肌炎
回顾性研究
软组织钙化
Dermatomyositis
Retrospective studies
Soh-tissue calcification