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皮肌炎为一罕见疾病,多侵犯全身皮肤肌肉产生退行性及炎症变化。少数病例可累及粘膜、神经、血管,为全身性胶元性疾病之一。国内文献至今已有7例报告,但无尸解材料。本文仅就临床诊断并经尸解证实一例,报导如下,供作参考。病例摘要患者张某,住院号51203,男性,26岁,山东籍,电业工人。因间歇性发热、四肢疼痛7个月于1957年3月8日入院。自1953年即经常于受冷后大关节疼痛,曾作封闭疗法缓解。7个月前因劳累突然高热、大量出汗、周身肌肉及大关节肿疼,曾在某医院打针、服复方阿斯匹林,一周后热退,关节肿疼减轻,然四肢皮肤及肌肉仍疼,复经中药治疗无效,且渐消瘦卧床不起。10天前又发高热伴有面部虚肿,尿频排尿灼
Dermatomyositis is a rare disease, more violations of systemic skin and muscle degeneration and inflammation. A few cases can affect the mucous membranes, nerves, blood vessels, one of the systemic gum yuan disease. Domestic literature so far has been reported in 7 cases, but no autopsy material. This article only on clinical diagnosis and autopsy confirmed a case, reported as follows, for reference. Case summary patients Zhang, hospital number 51203, male, 26 years old, Shandong membership, electrical workers. Due to intermittent fever, limb pain in 7 months on March 8, 1957 admission. Since 1953, often in the cold after the big joint pain, closed therapy for relief. 7 months ago due to exertion suddenly high fever, a large number of sweating, whole body muscles and swollen joints, had in a hospital injections, serving compound aspirin, a week after the heat back, joint swelling and pain relief limbs, skin and muscle still Pain, Chinese medicine treatment is not effective, and gradually reduce the weight of bedridden. 10 days ago with high fever accompanied by facial swelling, frequent micturition