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金黄色葡萄球菌性脂膜炎并发青少年皮肌炎

Staphylococcus aureus panniculitis complicating juvenile dermatomyositis.

作者信息

Spalding Steven J, Meza Manuel P, Ranganathan Sarangarajan, Hirsch Raphael

机构信息

Division of Rheumatology, Children's Hospital of Pittsburgh, 3705 Fifth Ave, Pittsburgh, PA 15213, USA.

出版信息

Pediatrics. 2007 Feb;119(2):e528-30. doi: 10.1542/peds.2006-1518. Epub 2007 Jan 29.

Abstract

Panniculitis is a rarely reported manifestation of juvenile dermatomyositis. The 3 previously reported cases of juvenile dermatomyositis and panniculitis were attributed to flare of underlying disease, rather than infection, and were treated with increased immunosuppression. Here we describe a patient with juvenile dermatomyositis who developed panniculitis secondary to Staphylococcus aureus. Patients with juvenile dermatomyositis and panniculitis should have extensive testing for infectious etiologies before increasing their immunosuppressive regimens.

摘要

脂膜炎是幼年皮肌炎一种罕见的表现形式。之前报道的3例幼年皮肌炎合并脂膜炎病例被归因于潜在疾病的发作,而非感染,并采用了增加免疫抑制的治疗方法。在此,我们描述了一名幼年皮肌炎患者,其因金黄色葡萄球菌感染继发脂膜炎。幼年皮肌炎合并脂膜炎患者在增加免疫抑制治疗方案之前,应进行广泛的感染病因检测。

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