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患者女,43岁,以皮肌炎特征性皮疹、肌无力及肌酸激酶升高为首发表现,肺部CT发现右肺结节,肿瘤标志物示神经元特异性烯醇化酶高于正常,于本院胸外科行右上肺部分切除术,切取组织病理活检示肺错构瘤。手术后半月,患者皮疹及肌无力症状逐渐缓解,肌酸激酶迅速下降,但仍有肌无力症状,于本科复诊强的松当量70mg/d口服并逐渐减量后,患者肌力及肌酸激酶恢复正常。
Female, 43 years old, with dermatomyositis characteristic rash, muscle weakness and elevated creatine kinase as the first manifestation of lung CT found right lung nodules, tumor markers showed neuron-specific enolase than normal, In our department of thoracic surgery right partial lung resection, biopsy showed pulmonary hamartoma. Half a month after surgery, patients with rash and muscle weakness symptoms gradually ease, rapid decline in creatine kinase, but there are still symptoms of muscle weakness in the undergraduate retrospective prednisone equivalent 70mg / d oral and tapering, patients with muscle strength and creatine kinase Back to normal.