治疗新诊断为皮肌炎的患者的心肌炎。
Managing myocarditis in a patient with newly diagnosed dermatomyositis.
机构信息
Acute Medical Unit, Homerton University Hospital, London, UK
Acute Medical Unit, Homerton University Hospital, London, UK.
出版信息
BMJ Case Rep. 2022 Mar 7;15(3):e246989. doi: 10.1136/bcr-2021-246989.
Abstract
A woman in her 20s presented with chest pain, dyspnoea, arthralgia, muscle weakness and skin discolouration. She was diagnosed with dermatomyositis. During her admission, she developed pleuritic chest pain and shortness of breath accompanied by a significant troponin I rise. Her echocardiogram showed a hyperdynamic left ventricle with a trivial pericardial effusion; there were no regional wall motion abnormalities. Gadolinium-diethylenetriaminepantaacetic-enhanced cardiac MRI showed extensive myocarditis. She was started on corticosteroids and azathioprine which led to an improvement of symptoms and biochemical markers.
摘要
一位 20 多岁的女性出现胸痛、呼吸困难、关节痛、肌肉无力和皮肤变色。她被诊断为皮肌炎。住院期间，她出现了胸膜炎性胸痛和呼吸急促，同时肌钙蛋白 I 显著升高。她的超声心动图显示左心室高动力性伴少量心包积液；无区域性壁运动异常。钆喷替酸二乙三胺五乙酸增强心脏 MRI 显示广泛心肌炎。她开始接受皮质类固醇和硫唑嘌呤治疗，症状和生化标志物均有所改善。
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