类肉瘤病是一种病因不明的系统性肉芽肿疾病,表现在肌肉方面症状是罕见的,本文报告一例具有典型皮肌炎皮疹的类肉瘤肌病.女性患者36岁,发现双眼睑红肿,但局部用类固醇治疗获改善.患者46岁时,感双腿钝痛,逐渐登楼困难,同时面、颈、胸、肩、肘和手背出现搔痒性皮疹.检查可见皮肤呈紫红色斑,以面、肩和肘部明显,双手有皮肤异色病,指甲皱壁呈现毛细血管扩张,未触及淋巴结或肌肉结节.心、肺、腹无异常、二头肌、三角肌,股四头肌有轻度萎缩,双上肢和下肢普遍性乏力,近端更明显,腱反射正常,感觉完整.全血计数,ESR、血清电解质,钙,血肌酐,肌酸磷酸激酶,谷草转氨酶,总蛋白,葡 Sarcoidosis is a systemic granulomatous disease of unknown etiology and manifests itself as a muscle disorder. This article reports an example of sarcoid myopathies with a typical dermatomyositis. Female patients, age 36, were found to have double eyelid swelling but Topical steroid treatment was improved in patients with 46-year-old sense of leg dull pain gradually ascend the floor difficulties, while face, neck, chest, shoulders, elbows and back of the hand itching rash can be seen in the skin was purple spots to the surface, Shoulder and elbow obvious, both hands have skin color disease, nails wrinkled wall showed telangiectasias, lymph nodes or muscle nodules did not reach. Heart, lung, abdomen without exception, biceps, deltoid, quadriceps have light Degree of atrophy, generalized upper and lower extremity weakness, proximal more obvious, normal tendon reflexes, complete feeling. Whole blood count, ESR, serum electrolytes, calcium, serum creatinine, creatine phosphokinase, aspartate aminotransferase, total protein,