Kanoh H, Izumi T, Seishima M, Nojiri M, Ichiki Y, Kitajima Y
Department of Dermatology, Ogaki Municipal Hospital, Ogaki, Japan.
Br J Dermatol. 1999 Nov;141(5):897-900. doi: 10.1046/j.1365-2133.1999.03165.x.
A relationship between dermatomyositis (DM) and pregnancy has rarely been documented, and most cases have been reported from the viewpoint of the management of high-risk pregnancy. We report a patient with DM which developed after the delivery of a healthy infant. This case, with support from a literature review, suggests that pregnancy could be a trigger for the development of DM. Furthermore, it is suggested that there are at least two types of pregnancy related DM: in one type, the disease activity is provoked during pregnancy and tends to improve after delivery, while the other type (including the present case) has onset in the postpartum period.
皮肌炎（DM）与妊娠之间的关系鲜有文献记载，大多数病例是从高危妊娠管理的角度报告的。我们报告一例在健康婴儿出生后发生皮肌炎的患者。结合文献回顾，该病例提示妊娠可能是皮肌炎发病的诱因。此外，提示至少有两种与妊娠相关的皮肌炎：一种类型是在妊娠期间疾病活动被激发，产后往往改善；而另一种类型（包括本病例）在产后发病。
