Spalding Steven J, Meza Manuel P, Ranganathan Sarangarajan, Hirsch Raphael
Division of Rheumatology, Children's Hospital of Pittsburgh, 3705 Fifth Ave, Pittsburgh, PA 15213, USA.
Pediatrics. 2007 Feb;119(2):e528-30. doi: 10.1542/peds.2006-1518. Epub 2007 Jan 29.
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.
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。