作者报告3例年龄在60岁以上的SLE患者,临床上均表现为典型的风湿性多发性肌痛,其中2例有潜在的肌炎.病例1 男,76岁,近端肌肉疼痛、僵硬、伴明显的体重下降4个月.2年前曾有轻度雷诺氏现象.体检无明显异常.血浆粘滞度增高,有正色素正细胞性贫血,ANA弱阳性(40IU).DNA结合率正常,血清CPK和转氨酶正常.诊断为风湿性多发 The authors report that three SLE patients aged 60 years and older reported clinically typical rheumatic polymyalgia and two of them had potential myositis. One male patient, 76 years of age, had proximal muscle pain, stiffness, Accompanied by a significant weight loss of 4 months .2 years ago had a mild Raynaud’s phenomenon .No significant physical examination .Patients with increased plasma viscosity, positive normocytic anemia, ANA weakly positive (40IU) DNA binding rate was normal Serum CPK and aminotransferase normal diagnosis of rheumatic multiple