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七歲女童罹患幼年性皮肌炎-病例報告

Juvenile Dermatomyositis - A Case Report

摘要


皮肌炎乃一相當罕見的疾病,在美國其發生率約為百萬分之1至3.2。本文報告一位7歲大的小妹妹因為臉頰、眼瞼浮腫,併有紅色丘疹及常紫色紅斑;漸進性的兩下肢無力等症候。經過肌電圖、肌肉切片等檢查確定診斷為罕見的皮肌炎,經投與類固醇治療兩週後症狀明顯進步。本文乃就此病例之病史、臨床症狀、診斷治療方式及預後提出報告,並參考文獻作一討論。

並列摘要


A seven-year-old girl had been suffering from violaceous heliotrope discoloration around the periorbital region and cheeks of the face, and progressive weakness of the legs for six weeks. After a series of studies, including measurement of muscle enzymes in serum, electromyography, and muscle biopsy from weak muscles, the final diagnosis was juvenile dermatomyositis. Her symptoms improved following prednisolone theroapy for 2 weeks. In conclusion, a child who develops the symptoms of maculo-papular rash, proximal muscle weakness, and fatigue should seek medical care promptly. With advances in physical and medical therapy, many of the consequences of the disease can now be ameliorated.

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