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患者男,19岁。双眼睑轻度红肿,颈及上肢肌酸痛无力3个月,继发展到整个面部、下肢红肿、肌肉酸痛,有吞咽困难及低热入院。查体见眼睑、鼻、眉间及双侧颊部、颈及前胸皮肤呈玫瑰红色,压之褪色,全身浮肿,咽充血颈稍强,肌肉压痛,腱反射减弱。查血:白、球蛋白偏低,谷丙转氨酶升高,血肌酸285mg%,肌酐180mg%,皮肤活检支持诊断皮肌炎。经给睾丸酮、强的松、抗生素和
Male patient, 19 years old. Mild swelling of both eyelids, neck and upper extremity muscle aches weakness 3 months, following the development of the entire face, lower extremity swelling, muscle soreness, difficulty swallowing and fever admission. Examination of the eyelids, nose, eyebrows and bilateral cheeks, neck and chest skin was rose red, pressure fade, body edema, pharyngeal congestion neck slightly stronger, tenderness, tendon reflex. Check the blood: white, low globulin, alanine aminotransferase increased blood creatine 285mg%, creatinine 180mg%, skin biopsy support diagnosis of dermatomyositis. Given to testosterone, prednisone, antibiotics and