Fridrich K L, Taylor R W, Olson R A
Oral Surg Oral Med Oral Pathol. 1987 Jan;63(1):21-4. doi: 10.1016/0030-4220(87)90334-3.
An interesting case of a patient with dermatomyositis and a superimposed Ludwig's angina is presented. Dermatomyositis is a disease that is poorly understood and has many presenting characteristics similar to facial cellulitis and infection. In the present case the rapid progression of the clinical course necessitated prompt intervention. It was virtually impossible to differentiate between signs of dermatomyositis and an infectious process. No clear cause of the facial swelling was determined, but it was presumably from an ulcerative lesion in the floor of the mouth.
本文介绍了一例皮肌炎合并路德维希咽峡炎的有趣病例。皮肌炎是一种了解甚少的疾病,有许多与面部蜂窝织炎和感染相似的表现特征。在本病例中,临床病程进展迅速,需要及时干预。实际上,很难区分皮肌炎的体征和感染过程。面部肿胀的明确病因尚未确定,但推测可能源于口腔底部的溃疡性病变。