Iester A, Puleo M G, Buzzanca C, Debbia C, Callegarini L, Alpigiani M G
Istituto G. Gaslini, Clinica Pediatrica, Università degli Studi di Genova.
Minerva Pediatr. 1994 Dec;46(12):565-8.
The authors describe a girl affected by dermatomyositis, with a quick and grave evolution, which required urgent tracheostomy to reduce the dysphagic symptoms. During the observation the patient showed psychotic symptoms. After the revision of literature, in which no such complication has ever been described, the authors propose an etiopathogenetic interpretation for a generalized acute psycho-organic syndrome, supposing a cerebral hypoxic damage, as vasculitic manifestation, probably complicated by symptoms of hysterical conversion, due to the isolation of the patient in the Department of Intensive Therapy and to the severe physical conditions.
作者描述了一名患有皮肌炎的女孩，病情发展迅速且严重，需要紧急气管切开术以减轻吞咽困难症状。在观察期间，患者出现了精神症状。在查阅文献后（其中从未描述过此类并发症），作者针对一种全身性急性精神器质性综合征提出了病因学解释，推测存在脑缺氧损伤，这是一种血管炎表现，可能因患者在重症治疗科的隔离以及严重的身体状况而并发癔症性转换症状。
