皮肤肌炎呈现与扩散性化症
Madalyn Walsh1, Brittany Bettendorf2, Carleigh Zahn3
1Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA madalyn-walsh@uiowa.edu.
BMJ case reports
|December 16, 2023
概括
这一案例突出了皮肤肌炎的不寻常表现,其中切切切是主要症状. 它强调在差异诊断中考虑软组织化,特别是与NXP-2抗体.
科学领域:
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 医疗成像医学成像
背景情况:
- 皮肤肌炎是一种异常性炎症性肌肉病,其特征是肌肉疲软和特征性皮肤皮疹.
- 皮肤,沉积在皮肤和皮下组织,可以发生在皮肤肌炎,虽然往往作为次要发现.
研究的目的:
- 报告一种不常见的皮肤肌炎病例,主要表现为皮肤切割.
- 强调在软组织化的患者中考虑皮肤肌炎的重要性.
- 为了突出NXP-2抗体,皮肤肌炎和恶性瘤之间的关联.
主要方法:
- 在膝盖后部附近的皮下结节的临床表现.
- 诊断成像显示扩散的皮下化.
- 风湿学评估包括肌炎面板,电肌图 (EMG) 和肌肉活检.
主要成果:
- 图像检测证实了扩散的皮下化.
- 电肌图和肌肉活检表明炎症性肌肉病变.
- 病人被诊断出患有皮肤肌炎,皮肤形形作为主要的初始投诉.
结论:
- 皮质肌炎 (Calcinosis cutis) 可能是皮肤肌炎的主要症状,需要广泛的差异诊断.
- 软组织化的患者应评估炎症性肌肉病变.
- 存在NXP-2抗体,需要对恶性瘤进行彻底的检查.
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