20 0 1年 8月解放军第 117医院收治了 1例以皮肌炎为首发症状的肺癌患者 ,现报告如下。1　临床资料患者 ,男性 ,72岁 ,2 0 0 1年 4月无明显诱因出现面部以眼睑为中心的紫红色斑片 ,伴四肢对称性无力 ,无压痛 ,无吞咽困难及刺激性咳嗽。入院时查体 :神志清楚 ,面部出现以眼睑为 20 0 1 August People’s Liberation Army 117th Hospital admitted to a case of dermatomyositis as the first symptom of lung cancer patients are reported as follows. 1 Clinical data Patient, male, 72 years old, April 2001 no obvious incentive to appear facial eyelid as the center of the purple patches, with limb weakness symmetry, no tenderness, no difficulty swallowing and irritating cough. Physical examination on admission: Consciousness, facial appearance with eyelids