Hamadeh Majdi, Boustany Sora, Fares Jawad
Department of Nephrology and Hypertension, Al-Zahraa Hospital University Medical Center, Beirut, Lebanon.
Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
Clin Med Res. 2019 Dec;17(3-4):102-104. doi: 10.3121/cmr.2019.1487. Epub 2019 Jul 15.
Renal involvement in patients with inflammatory myopathies, like dermatomyositis, is rare. We present the case of a woman, aged 66 years, who arrived at the hospital with acute renal failure. She had a diffuse erythematous rash, severe muscle weakness and decreased motor capacity. Inflammatory features of the skin/muscle biopsy along with the dramatic improvement in symptomatology upon the intake of steroids pointed towards dermatomyositis. Recognition of this pattern of events, adopting a multidisciplinary approach, early diagnosis and steroid treatment are necessary for better patient outcomes.
炎症性肌病（如皮肌炎）患者出现肾脏受累的情况较为罕见。我们报告了一例66岁女性患者，她因急性肾衰竭入院。她有弥漫性红斑皮疹、严重肌肉无力和运动能力下降。皮肤/肌肉活检的炎症特征以及服用类固醇后症状的显著改善提示为皮肌炎。认识到这种事件模式，采用多学科方法、早期诊断和类固醇治疗对于改善患者预后是必要的。
