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| 題 名 | Polymyositis and Dermatomyositis: Analysis of 42 Cases=多發性肌炎與皮肌炎之42位病例分析 |
|---|---|
| 作 者 | 陳家勉; 張德明; 郭三元; 朱士傑; 張木蘭; | 書刊名 | 醫學研究 |
| 卷 期 | 15:4 1995.01[民84.01] |
| 頁 次 | 頁281-292 |
| 分類號 | 415.762 |
| 關鍵詞 | 多發性肌炎; 皮肌炎; Polvmvositis; Dermatomyositis; |
| 語 文 | 英文(English) |
| 中文摘要 | 近10年來三軍總醫院有42位罹患多發性肌炎和皮肌炎之病患,其中有13人是屬於原發性多發性肌炎,19人是屬於原發性皮肌炎,5人是多發性肌炎或是皮肌炎合併腫瘤,2人是幼年型皮肌炎,3人是多發性肌炎或是皮肌炎合併結締組織性疾病。肌肉無力是最常見之臨床症狀;CPK值高的有73.8%。此外,合併鬱血性心臟衰竭有2例,合併間質性肺炎有6例,合併軟組織鈣化症有3例(成人2位,小孩1位),但是並無血管炎之病例。在5位合併腫瘤的病患中只有1位存活,她是位早期子宮頸癌早期就接受手術及放射治療的患者;這些病患中以鼻咽癌為最常見之腫瘤。死亡人數共有13人,而死亡時的平均年齡為41歲,呼吸衰竭是最大的死因。 |
| 英文摘要 | Forty-two patients with polymyositis (PM) and/or dermatomyositis (DM) were found in Tri-Service General Hospital from 1984 to 1994. Thirteen cases (31%) were classified as primary idiopathic PM, 19 (45%) as primary idiopathic DM, 5 (12%) as PM or DM with neoplasia, 2 (5%) as childhood PM or DM, and 3 (7%) as PM or DM with collagen vascular disease (overlap syndrome). Among them, 2 patients shoed congestive heart failure, 6 developed interstitial lung diseases and 3 demonstrated calcinosis (2 adults, 1 child). Muscle weakness was the most common clinical manifestation. Creatinine phosphokinase levels were elevated in 73.8% of the patients. Four of the five cases combined with malignancy died, the other with Ca of the cervix remains alive. Thirteen of the patients died, with the mean age at death at 36.3±15.3 in patients with PM, 45.9±17.3 in those with DM, and 14 in patients with overlap syndrome, respectively. Respiratory failure (31%) was the most common cause of death. |
本系統中英文摘要資訊取自各篇刊載內容。