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目前类固醇激素(以下简称激素)在各科广泛地成用,对某些疾病有显著效果的同时,副作用也很多,有时甚至引起严重的后果。在这些激素副作用中,偶有引起脂膜炎的报告,Smith等(1956)首先报告,其后Spagnuolo等(1961)报告4例,命名为类固醇激素后脂膜炎。本文作者报告了一例皮肌炎病人,在应用激素治疗期间先后发生了各种副作用,如激素性糖尿、口腔白色串珠菌病、带状疱疹、急性肺炎、胃溃疡、骨质疏松等,并在减量期间出现了罕见的所谓类固醇激素后脂膜炎的并发症。
At present, steroid hormones (hereinafter referred to as hormones) are widely used in various subjects and have significant effects on certain diseases. In addition, they have many side effects and may even cause serious consequences. Of these hormonal side effects, there are occasional reports of lipid periarthritis, first reported by Smith et al. (1956) and subsequently reported by Spagnuolo et al. (1961) 4 and named as post-corticosteroid paniculitis. The authors of this article report a case of dermatomyositis in which various adverse effects such as glucocorticoid diabetes, oral candidosis, shingles, acute pneumonia, gastric ulcer, osteoporosis, etc. occur during the course of hormonal therapy. A rare so-called post-corticosteroid paniculitis complication occurred during the reduction.