Orrell R W, Johnston H M, Gibson C, Cass R M, Griggs R C
Department of Neurology, University of Rochester Medical Center, New York 14642, USA.
Muscle Nerve. 1998 Dec;21(12):1800-3. doi: 10.1002/(sici)1097-4598(199812)21:12<1800::aid-mus29>3.0.co;2-z.
Dermatomyositis is associated with a number of systemic manifestations and diseases. We present 2 patients with dermatomyositis, aged 11 and 50 years, who developed acute abdominal pain, both a result of spontaneous hemorrhage. Hemorrhage was detectable by physical examination in one and on computed tomography scan of the abdomen in the other. Both patients made a full recovery with supportive treatment. While the cause of the hemorrhage was uncertain, in 1 patient massive calcinosis of the abdominal wall was present, and trauma may have been the precipitant. Spontaneous abdominal hematoma is a cause of acute abdominal pain in patients with dermatomyositis, and surgery may be avoided if the diagnosis is recognized.
皮肌炎与多种全身表现和疾病相关。我们报告了2例皮肌炎患者，年龄分别为11岁和50岁，他们均出现了急性腹痛，均为自发性自发性 by physical examination in one and on computed tomography scan of the abdomen in the other. 两例患者经支持治疗后均完全康复。虽然出血原因不明，但其中1例患者存在腹壁大量钙质沉着，创伤可能是诱因。自发性腹部血肿是皮肌炎患者急性腹痛的一个原因，如果能确诊则可避免手术。 （原文中“by physical examination in one and on computed tomography scan of the abdomen in the other.”表述似乎不完整，请确认原文准确性）
