両側眼瞼の著しい腫脹を認めた抗 EJ 抗体陽性皮膚筋炎の 1 例

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タイトル別名
  • A Case of Anti-EJ Antibody-Positive Dermatomyositis with Severe Palpebral Edema
  • ショウレイ リョウガワ ガンケン ノ イチジルシイ シュチョウ オ ミトメタ コウEJ コウタイ ヨウセイ ヒフ キンエン ノ 1レイ

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We report on a 58-year-old female with dermatomyositis. She had noticed bilateral palpebral swelling five years before visiting our hospital. This skin lesion gradually expanded and became very obvious. She also presented with erythema with edema on cheeks, Gottron's sign, and mechanic's hand. Laboratory findings revealed elevations of myogenic enzymes and anti-EJ antibody. An MRI scan revealed a high-intensity region on the thigh muscles. A biopsy specimen from palpebral skin showed interface dermatitis with mucin deposition. Accordingly, we diagnosed her as dermatomyositis. Chest computed tomography and echocardiography revealed interstitial pneumonia and mild pulmonary hypertension. Oral prednisolone improved skin lesions and laboratory data.

収録刊行物

  • 西日本皮膚科

    西日本皮膚科 74 (5), 488-492, 2012

    日本皮膚科学会西部支部

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