Valdés-González Guillermo, Chávez-López Mario, Gallaga-Gutiérrez Adán, Reyes-García Adriana
Departamento de Medicina Interna, Servicio de Reumatología, Centenario Hospital Miguel Hidalgo, Aguascalientes, México.
Departamento de Medicina Interna, Servicio de Reumatología, Centenario Hospital Miguel Hidalgo, Aguascalientes, México.
Reumatol Clin. 2014 Jan-Feb;10(1):48-50. doi: 10.1016/j.reuma.2012.12.005. Epub 2013 Mar 29.
The association of erythroderma and dermatomyositis is rare. In 6 reported cases found by searching Pubmed, half of them were associated with digestive tract neoplasms (stomach and liver). We report the case of a 69 years-old woman with bilateral proximal weakness, joint pain, photosensitivity, facial and heliotrope erythema lasting 18 months. One month prior to hospital admission she showed progressive dysphagia and a universal erythema and scaling that affected mucosa, palms and soles with an accompanying weight loss of 10 kg in 6 months. No malignancy was identified at any level despite an exhaustive search.
红皮病与皮肌炎的关联较为罕见。通过检索PubMed发现的6例报告病例中，半数与消化道肿瘤（胃和肝脏）相关。我们报告了一例69岁女性患者，其出现双侧近端肌无力、关节疼痛、光敏性、面部及向阳疹样红斑，症状持续18个月。入院前一个月，她出现进行性吞咽困难，全身红斑及脱屑，累及黏膜、手掌和足底，且在6个月内体重减轻了10千克。尽管进行了详尽检查，但未发现任何部位存在恶性肿瘤。
