帕拉内瘤性皮质肌肉炎呈现为Supraglottitis和急性心力衰竭;一个病例报告
John P McCormick1, Aiden Kenny1, Mark Coyle1
1Department of Cardiology, Galway University Hospital, Newcastle Road, Galway, H91 YR71, Ireland.
Oxford medical case reports
|September 30, 2025
概括
这项案例研究突出了神经瘤性皮肤肌炎,呈现为急性呼吸道损害和心力衰竭. 它强调了在肌肉衰弱和皮疹患者中考虑皮肤肌肉炎的重要性,即使有主要的呼吸道症状.
科学领域:
- 类风湿病学 类风湿病学
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
背景情况:
- 皮肤肌肉炎是一种罕见的自身免疫性疾病.
- 它经常表现为皮肤和肌肉炎症.
- 恶性病是常见的关联.
研究的目的:
- 为了报告一种罕见的瘤性皮肤肌炎病例.
- 描述其不寻常的表现为急性呼吸道损害和心力衰竭.
主要方法:
- 一个77岁的老人的临床病例介绍.
- 诊断工作包括实验室测试 (抗TIF1抗体),心脏和肌肉骨MRI.
- 内镜食道活检证实了腺癌.
主要成果:
- 患者出现了暗示炎症性肌肉炎的症状,包括肌肉病,消化不良,皮疹和心肌炎.
- 诊断得到了积极的抗TIF1抗体和MRI发现的支持.
- 食道活检显示高度腺癌,证实了副瘤综合征.
结论:
- 这是第一个报告的急性膜炎病例,作为瘤性皮肤肌炎的表现.
- 肌肉肌肉炎应考虑在肌肉衰弱和皮疹患者的差异诊断中,即使有其他突出的症状.
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