Sève P, Zénone T, Durieu I, Pillon D, Durand D V
Service de médecine interne, centre hospitalier Lyon-Sud, Pierre-Bénite.
Rev Med Interne. 1997;18(12):984-8. doi: 10.1016/s0248-8663(97)80120-8.
We report the case of a 75-year old woman presenting sarcoid myopathy with pseudohypertrophy and skin involvement. Muscular biopsy confirmed the diagnosis of sarcoidosis. Symptomatic muscle involvement in sarcoidosis is rare. Three forms are described: myopathic, myositic and nodular. The relevance of imaging techniques is reviewed. Treatment is based on corticotherapy which is less efficient in myopathic form and in this case we had to use methotrexate with success.
我们报告了一例75岁女性患者,其表现为伴有假性肥大和皮肤受累的结节病性肌病。肌肉活检确诊为结节病。结节病中出现有症状的肌肉受累情况较为罕见。有三种形式被描述:肌病型、肌炎型和结节型。本文回顾了成像技术的相关性。治疗以皮质激素疗法为基础,而该疗法在肌病型中效果较差,在本病例中我们成功使用了甲氨蝶呤。