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泛发性钙质沉着症伴皮肌炎。5例报告(作者译)

[Calcinosis universalis associated with dermatomyositis. A report on five cases (author's transl)].

作者信息

Godeau P, Herson S, Ghozlan R, Bletry O, Richard C, Herreman G

出版信息

Sem Hop. 1980;56(45-46):1871-5.

PMID:6256893
Abstract

Five patients with dermatomyositis developed calcinosis universalis, the calcinosis lesions being diffuse in three cases and localized to a subcutaneous site in the other two. The diffuse lesions developed in young subjects with severe dermatomyositis, and increased progressively during recovery from the muscle disease. Treatment was ineffective. Subcutaneous calcifications can be detected at an early stage by technetium pyrophosphate scintigraphy, while the fluid nature of the swellings due to a local inflammatory reaction is proved by ultrasonography. Good results are obtained after excision of those calcified masses requiring removal because of their size, site, or superinfection.

摘要

五例皮肌炎患者发生了全身性钙化,其中三例钙化病变为弥漫性,另外两例局限于皮下部位。弥漫性病变发生在患有严重皮肌炎的年轻患者中,在肌肉疾病恢复过程中逐渐加重。治疗无效。焦磷酸锝闪烁扫描可在早期检测到皮下钙化,而超声检查可证实因局部炎症反应导致的肿胀具有液体性质。对于那些因大小、部位或继发感染而需要切除的钙化肿块,切除后可取得良好效果。

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