Thompson J W
Ann Otol Rhinol Laryngol. 1984 Sep-Oct;93(5 Pt 1):464-7. doi: 10.1177/000348948409300509.
Spontaneous perforation of the esophagus evolving into a retropharyngeal abscess in a child with severe dermatomyositis is reported. Clinical presentation and successful management are discussed. Aggressive surgical debridement with extensive drainage, multiple antibiotic coverage, and careful steroid management are advocated. The histopathology and clinical presentation of dermatomyositis as a type of polymyositis are discussed as pertinent to the otolaryngologic clinician. The literature is reviewed and results of a retrospective analysis of head and neck manifestations are reported in 50 children with dermatomyositis treated at Children's Hospital, Los Angeles, over the past 20 years.
本文报道了一名患有严重皮肌炎的儿童，其食管自发性穿孔发展为咽后脓肿。文中讨论了临床表现及成功的治疗方法。提倡积极进行广泛引流的手术清创、联合使用多种抗生素以及谨慎使用类固醇药物。文中还讨论了皮肌炎作为一种多发性肌炎的组织病理学和临床表现，这与耳鼻喉科临床医生密切相关。回顾了相关文献，并报告了过去20年在洛杉矶儿童医院接受治疗的50例皮肌炎患儿头颈部表现的回顾性分析结果。
