Krajnc I
Abteilung für Innere Medizin-Rheumatologie, Lehrklinik Maribor, Slowenien.
Wien Klin Wochenschr. 1995;107(19):590-2.
We describe the case of a 53-year-old woman who developed polymyositis with extramuscular complications: interstitional lung fibrosis, pericarditis and a pericardial effusion, polyarthritis, Raynaud's syndrome, carpal tunnel syndrome, sclerodactylia and positive anti-Jo-1-antibodies. We treated her for 3 years. Pericarditis and pericardial effusion with a fibrosing lung alveolitis were the first clinical manifestations of positive Jo-1-syndrome. We stress the patient's serious cardiac disease accompanied by pericardial effusion, which has seldom been described in specialist articles. Steroid treatment induced remission of the disease, but the Jo-1-antibodies did not disappear from the patient's serum.
我们描述了一名53岁女性的病例,她患了伴有肌肉外并发症的多发性肌炎:间质性肺纤维化、心包炎和心包积液、多关节炎、雷诺综合征、腕管综合征、硬皮指、抗Jo-1抗体阳性。我们对她进行了3年的治疗。心包炎、心包积液伴肺纤维化肺泡炎是Jo-1综合征阳性的首发临床表现。我们强调该患者伴有心包积液的严重心脏疾病,这在专业文章中很少被描述。类固醇治疗使疾病缓解,但Jo-1抗体并未从患者血清中消失。