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皮肌炎的不寻常表现:高甘油三酯血症加重

Unusual Manifestation of Dermatomyositis: Exacerbation of Hypertriglyceridemia.

作者信息

Suzuki Hinako, Odaka Hidesato, Takita Yuri, Izumiya Yuka, Shimizu Naoko

机构信息

Post Graduate Clinical Education Center, Japanese Red Cross Akita Hospital, Akita, JPN.

Department of Respiratory Medicine, Japanese Red Cross Akita Hospital, Akita, JPN.

出版信息

Cureus. 2023 Dec 27;15(12):e51149. doi: 10.7759/cureus.51149. eCollection 2023 Dec.

Abstract

Systemic lupus erythematosus is known to cause autoimmune hyperlipidemia. We present a case in which hypertriglyceridemia was exacerbated by dermatomyositis. A 53-year-old woman with a medical history of undertreated hypertriglyceridemia complained of dyspnea and arthralgia. Despite the treatment, her triglyceride levels increased concurrently with the onset of arthralgia. She had characteristic skin manifestations and tested positive for anti-Jo-1 autoantibodies, leading to a diagnosis of dermatomyositis. Chronic inflammation may result in elevated triglyceride levels. When dermatomyositis is diagnosed, evaluating lipid abnormalities is important.

摘要

系统性红斑狼疮已知可引起自身免疫性高脂血症。我们报告一例皮肌炎加剧高甘油三酯血症的病例。一名有高甘油三酯血症治疗不充分病史的53岁女性,主诉呼吸困难和关节痛。尽管进行了治疗,但她的甘油三酯水平在关节痛发作时同时升高。她有典型的皮肤表现,抗Jo-1自身抗体检测呈阳性,从而诊断为皮肌炎。慢性炎症可能导致甘油三酯水平升高。当诊断为皮肌炎时,评估脂质异常很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d77/10811439/8a053690070e/cureus-0015-00000051149-i01.jpg

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