Steggink Lars C, Hettema Martha E, Delsing Corine E
Medisch Spectrum Twente, Afd. Interne Geneeskunde, Enschede, the Netherlands.
Ned Tijdschr Geneeskd. 2013;157(30):A6306.
A 54-year-old woman presented to the emergency department with progressive proximal muscle weakness and a symmetric skin rash. Physical examination demonstrated a heliotrope rash, Gottron lesions, mechanic's hands and symmetrical erythema of the face, neck and upper legs. The diagnosis 'dermatomyositis' was established. Subsequently, the patient was successfully treated with prednisolone 1 mg/kg.
一名54岁女性因进行性近端肌无力和对称性皮疹就诊于急诊科。体格检查发现有向阳疹、Gottron征、技工手以及面部、颈部和大腿上部的对称性红斑。确诊为“皮肌炎”。随后，患者接受泼尼松龙1mg/kg治疗，效果良好。
