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[多发性肌炎/皮肌炎的实验室诊断]

[Laboratory diagnostics of polymyositis/dermatomyositis].

作者信息

Prus Visnja, Bedeković Drazen

机构信息

Klinicki odjel za reumatologiju, alergologiju i klinicku imunologiju, Klinika za unutarnje bolesti, Klinicki bolnicki centar Osijek, Josipa Huttlera 4, 31000 Osijek.

出版信息

Reumatizam. 2012;59(2):27-30.

Abstract

Polymyositis/dermatomyositis is chronic systemic inflammatory disease that usually affects the skin and muscle tissue. The diagnosis of polymyositis/dermatomyositis isn't simple, and represents challenge for clinicians, it is based on the integration of results: medical history and clinical presentation, laboratory findings enzymes more or less specific to muscle tissue, myositis-specific autoantibodies and autoantibodies associated with myositis which can be found at other inflammatory connective tissue diseases without myositis, electromyography findings, and biopsy of muscle and skin. Laboratory tests contribute and assist in the diagnosis of polymyositis/dermatomyositis but they should always be evaluated in context with clinical picture and other tests and decisions about diagnosis and/or treatment are based on the integration of the results.

摘要

多发性肌炎/皮肌炎是一种慢性全身性炎症性疾病,通常会影响皮肤和肌肉组织。多发性肌炎/皮肌炎的诊断并不简单,对临床医生来说是一项挑战,它基于以下结果的综合判断:病史和临床表现、实验室检查中肌肉组织或多或少具有特异性的酶、肌炎特异性自身抗体以及与肌炎相关的自身抗体(这些自身抗体在无肌炎的其他炎症性结缔组织疾病中也可发现)、肌电图检查结果以及肌肉和皮肤活检。实验室检查有助于多发性肌炎/皮肌炎的诊断,但应始终结合临床症状进行评估,关于诊断和/或治疗的决策基于各项结果的综合判断。

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