[1]郑玉洁,谢宜彤,林景荣.肺部错构瘤合并皮肌炎1例[J].中国皮肤性病学杂志,2017,(07):784-785.[doi:10.13735/j.cjdv.1001-7089.201606009]
 ZHENG Yu-jie,XIE Yi-tong,LIN Jing-rong.A Cases of Pulmonary Hamartoma Complicated with Dermatomyositis[J].The Chinese Journal of Dermatovenereology,2017,(07):784-785.[doi:10.13735/j.cjdv.1001-7089.201606009]
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肺部错构瘤合并皮肌炎1例
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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2017年07期
页码:
784-785
栏目:
病例报告
出版日期:
2017-07-01

文章信息/Info

Title:
A Cases of Pulmonary Hamartoma Complicated with Dermatomyositis
作者:
郑玉洁谢宜彤林景荣
大连医科大学附属第一医院皮肤科,辽宁 大连 116000
Author(s):
ZHENG Yu-jieXIE Yi-tongLIN Jing-rong
Department of Dermatology,The first affiliated hospital of dalian medical university,Dalian 116000,China
关键词:
皮肌炎 肺部错构瘤
Keywords:
dermatomyositis lung hamartoma
分类号:
R734.2; R 593.26
DOI:
10.13735/j.cjdv.1001-7089.201606009
文献标志码:
B
摘要:
患者女,43岁,以皮肌炎特征性皮疹、肌无力及肌酸激酶升高为首发表现,肺部CT发现右肺结节,肿瘤标志物示神经元特异性烯醇化酶高于正常,于本院胸外科行右上肺部分切除术,切取组织病理活检示肺错构瘤。手术后半月,患者皮疹及肌无力症状逐渐缓解,肌酸激酶迅速下降,但仍有肌无力症状,于本科复诊强的松当量70mg/d口服并逐渐减量后,患者肌力及肌酸激酶恢复正常。
Abstract:
A 43-year old female patient with dermatomyositis characteristic skin rash, muscle weakness and elevated creatine kinase as the first manifestation. CT found the right lung nodules, tumor markers showed neuron specific enolase was higher than normal in our hospital department of thoracic surgery for partial resection of the right lung, excision biopsy in patients with pulmonary hamartoma. Half a month after surgery, rash and myasthenia symptoms gradually ease, creatine kinase decreased rapidly, but still have the symptoms of myasthenia gravis. The patients was given prednisone 70mg/d and equivalent tapering, muscle strength and creatine kinase return to normal gradually.

参考文献/References:

[1] 徐文俊,方木平,李惠.皮肌炎、多发性肌炎合并恶性肿瘤21例高危因素分析[J].中国皮肤性病学杂志,2008,22(3),151-152.
[2] Albert TJ, Bastawrous S, Raugi GJ, et al.A 62-Year-Old Man With Skin Rash and an Abnormal Chest Radiograph[J].Chest, 2015, 147(3):e90-94
[3] Bursac DS, Sazdanic-Velikic DS, Tepavac AP, et al.Paraneoplastic dermatomyositis associated with adenocarcinoma of the lung[J].J Cancer Res Ther, 2014, 10(3): 730-732.

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备注/Memo

备注/Memo:
[通讯作者] 林景荣,E-mail:amy4963@163.com
更新日期/Last Update: 2017-06-30