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皮肌炎是皮肤与横纹肌的变性及发炎性疾病,是胶元疾病之一,比较少见,国内报告一共只有6例。(1)(2)(3)(4)(21)我们与天津保定二地共见到8例,其中1例作了尸检。急性皮肌炎是急性发作,有高热,白血球往往增高,有全身毒血症,严重皮肤肌肉症状,病程往往短于一年;慢性皮肌炎往往有红斑,皮肤萎缩,干燥、鳞屑,色素沉着等皮肤异色症表现,肌肉症状进行缓慢,中毒症状不明显,病程往往超过一年。8例的皮疹在面部明显,皮疹的边缘不明显,开始时,发红肿胀,稍久有灰褐色色素沉着,第5、7例有典型的皮肤异色症改变,掌指关节背面有皮肤萎缩与毛细血管扩张的片斑,(见图3、4,)。第5、6例均有毳毛增生与毛孔性角化丘疹或片斑,特别是第6例类面毳毛丛生,有长达一厘米者。毛孔角
Dermatomyositis is a degenerative and inflammatory disease of the skin and striated muscle. It is one of the most common diseases in gum cells. It is relatively rare that there are only 6 cases reported in China. (1) (2) (3) (4) (21) We and 8 patients in Tianjin Baoding saw a total of 8 cases, of which 1 was autopsy. Acute dermatomyositis is an acute attack, high fever, white blood cells are often increased, systemic toxemia, severe skin muscular symptoms, the course is often shorter than one year; chronic dermatomyositis often erythema, skin atrophy, dryness, scales, pigmentation Other skin manifestations of heterochromia, muscle symptoms slowly, symptoms of poisoning is not obvious, the course of the disease is often more than a year. 8 cases of rashes obvious in the face, the edge of the rash is not obvious, the beginning, the redness and swelling, a little longer with brownish pigmentation, the first 5,7 cases have a typical change of skin color, the back of the metacarpophalangeal skin atrophy Splenic plaques with telangiectasias (see Figures 3, 4, and). The fifth and sixth cases all have hyperplasia and keratosis papules or patchy pores, especially the first 6 cases of hairy tufts, up to one centimeter. Pore angle