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1 病历摘要患者女,43岁。因确诊皮肌炎10年,双髂部结节伴疼痛7年余于2014年3月8日入院。患者于2003年7月发现右乳腺癌,行右侧乳腺癌根治术,组织病理示浸润性导管癌,术后口服替加氟及三氧苯胺化疗。手术后约2个月面部及躯干上部渐起红斑,部分融合成片状,伴眼睑水肿性紫红斑,右手掌指关节处少许红色鳞屑性丘疹,皮疹无明显瘙痒感。下蹲后起立自如,无发热、乏力、关节痛及肌肉酸痛症状。2004年2月来我科门诊就
1 medical record Summary Female patient, 43 years old. Due to the diagnosis of dermatomyositis 10 years, double iliac nodules with pain more than 7 years in March 8, 2014 admission. Patients in July 2003 found that the right breast cancer, right breast cancer radical surgery, histopathology showed invasive ductal carcinoma, postoperative oral tegafur and trioxyaniline chemotherapy. About 2 months after the operation, the upper part of the face and the trunk gradually developed erythema, some of them merged into the shape of a sheet with erythema of the eyelid edema, a few red scale papules in the joints of the right palm, and no rash of the rash. Stand squatting freely, no fever, fatigue, joint pain and muscle soreness. February 2004 to our clinic