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矽肺并发硬皮病称为Erasmus 氏综合征。国内仅见一例报告(中华结核和呼吸系疾病杂志5:320,1982),现将我们所遇一例报告如下:患者男性,40岁。自1973年3月至1981年4月,先后在煤矿和国防施工中当风钻工、掘井工(均干式操作)。1978年4月经浙江省矽肺诊断小组诊断为Ⅱ期矽肺。1980年10月在一次意外落水被淹后,发现两手指端苍白、青紫、发冷,继而肿胀发硬。2个月后面部、两前臂、上臂、胸部及大腿内侧也渐次出现同样皮损。以致张口困难,上肢活动障碍,胸廓活动受限,胸闷、气急逐渐加重。
Silicosis with scleroderma is called Erasmus’s syndrome. Only one case is reported in China (Chinese Journal of Tuberculosis and Respiratory Diseases 5: 320, 1982). Now we report the following cases: Male patient, 40 years old. From March 1973 to April 1981, successively in the coal mines and national defense construction when the wind drilling, digging wells (both dry operation). April 1978 by the Zhejiang Province silicosis diagnosis group diagnosed as stage II silicosis. After an accidental flooding was flooded in October 1980, it was found that both fingers were pale, bruising, chilly and then swollen and stiff. 2 months after the face, two forearms, upper arm, chest and thigh medial gradually the same lesions. As a result, mouth open difficulties, upper extremity activity disorders, restricted thoracic activity, chest tightness, aggravating.