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患者女,22岁,4岁时双眼睑紫红斑,双肘关节伸侧Gottron丘疹伴四肢肌肉乏力、疼痛,曾先后在北京、上海就诊,肌电图示:肌原性损害,肌肉组织病理示:横纹肌肌纤维萎缩变性,诊断为“儿童皮肌炎”。患者病来一直予皮质类固醇激素治疗,疗效较为满意。近6年来,发现双侧肘部皮肤色泽异常,并逐渐发展为坚硬的结节和斑块,轻微触痛。否认肝炎等传染病史,否认高血压史及糖尿病史,否认家族史及药物过敏史。查体:T37.5℃,精神可,发育正常,营养良好,浅表淋巴结未触及,心、
Patient female, 22 years old, 4 years old with double eyelid erythema, double elbow Gottel papillae with limb muscle weakness, pain, has been in Beijing, Shanghai doctor, EMG shows: Myogenic damage, muscle tissue pathology : Striated muscle fibers atrophic, diagnosed as “children with dermatomyositis.” Patients have been to corticosteroid therapy, the effect is more satisfactory. In the past six years, we found abnormal skin color on both elbows and gradually developed hard nodules and plaques with slight tenderness. Denied the history of infectious diseases such as hepatitis, denied the history of hypertension and history of diabetes, denied family history and drug allergy history. Physical examination: T37.5 ℃, mental, normal development, good nutrition, superficial lymph nodes not touched, heart,