Anantharajah Anthea, Vucic Steve, Tarafdar Surjit, Vongsuvanh Roslyn, Wilcken Nicholas, Swaminathan Sanjay
Department of Clinical Immunology, Westmead Hospital, Sydney, New South Wales, Australia.
Department of Medicine, University of Sydney, Sydney, New South Wales, Australia.
Intern Med J. 2017 Feb;47(2):217-221. doi: 10.1111/imj.13324.
The inflammatory myopathies are a group of immune-mediated inflammatory muscle disorders that typically present with marked proximal muscle weakness. We report four cases of inflammatory myopathies with marked subcutaneous oedema as their main complaint. Three of the four patients had normal or low levels of creatine kinase, an enzyme often markedly elevated in these disorders. Magnetic resonance imaging of the muscles, followed by a muscle biopsy were used to make a definitive diagnosis.
炎性肌病是一组免疫介导的炎性肌肉疾病，通常表现为明显的近端肌无力。我们报告了4例以明显皮下水肿为主要症状的炎性肌病。4例患者中有3例肌酸激酶水平正常或偏低，而在这些疾病中该酶通常会显著升高。通过肌肉磁共振成像，随后进行肌肉活检以做出明确诊断。
