皮肌炎并发皮肤结外鼻型NK/T细胞淋巴瘤1例
Journal of Dermatology and Venereology(2016)
Abstract
1 临床资料
患者女,46岁.四肢乏力、左上眼睑红斑结节两年累及下颌、颈部半年,发热1周.患者两年前无明显诱因出现四肢乏力,左上眼睑红斑、结节,查肌酶学异常,肌电图示肌源性损伤,诊断为:皮肌炎.给醋酸泼尼松片30mg/d,硫唑嘌呤片50mg/d等治疗,乏力及皮损均有所缓解.半年前无明显诱因,患者左上睑红斑、结节加重,并累及下颌、颈前部,1周前出现发热,给予甲泼尼龙针40 mg/d,环磷酰胺针0.4g/w治疗,效果不佳.
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