Kusunoki Takeshi, Homma Hirotomo, Kidokoro Yoshinobu, Yanai Aya, Ikeda Katsuhisa, Wada Ryo
Department of Otorhinolaryngology, Juntendo University of Medicine , Shizuoka Hospital.
Department of Otorhinolaryngology, Juntendo University of Medicine , Faculty of Medicine.
Clin Pract. 2015 Dec 22;5(4):818. doi: 10.4081/cp.2015.818. eCollection 2015 Nov 5.
We experienced a rare case of laryngeal cancer associated with dermatomyositis. The patient was a 63-year-old male and Japanese. He was admitted to our department of Otorhinolaryngology with dysphagia for a day as a chief complaint. He became aware of hoarseness with bloody sputum and then face edema with redness a half year before. At first physical examination, he had bilateral eyelid edema with erythema, finger edema with keratinizing erythema and limb extensor erythema. Serous creatine phosphokinase was 850 IU/mL (normal range: 40-200 IU/mL). Later, he was referred to the rheumatology department and was diagnosed as having dermatomyositis. Fiberscopic examination revealed laryngeal cancer with left laryngeal palsy. We gave priority to the laryngeal treatment. As a result, the symptoms of dermatomyositis were improved.
我们遇到了一例罕见的喉癌合并皮肌炎病例。患者为一名63岁的日本男性。他因吞咽困难一天为主诉入住我们的耳鼻喉科。半年前他开始出现声音嘶哑伴咯血痰，随后面部水肿伴发红。初次体格检查时，他有双侧眼睑水肿伴红斑、手指水肿伴角化性红斑以及四肢伸侧红斑。血清肌酸磷酸激酶为850 IU/mL（正常范围：40 - 200 IU/mL）。后来，他被转诊至风湿科，被诊断为皮肌炎。纤维镜检查显示喉癌伴左侧喉麻痹。我们优先进行了喉部治疗。结果，皮肌炎的症状得到了改善。
