BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • Gottron 丘疹
  • 向阳性皮疹,伴有或不伴有眶周水肿
  • 紫红色斑片

其他诊断因素

  • 光敏性
  • 血管萎缩性皮肤异色症
  • 瘙痒
  • 疲乏和不适感

危险因素

  • 遗传倾向
  • 双峰年龄分布:儿童和年龄>40 岁的成人
  • 女性
  • 黑人

诊断性检查

首要检查

  • 血清肌酸激酶
  • 血清醛缩酶
  • 肌肉活检
  • 肌电图
全部具体信息

需要考虑的检查

  • 肌炎特异性抗体 (myositis-specific antibody, MSA)
  • 肌肉磁共振成像
  • 心电图
  • 超声心动图
全部具体信息

治疗流程

贡献者

Consultant Physician and Rheumatologist

Department of Rheumatology

Centre for Rheumatic Diseases

Glasgow Royal Infirmary

Glasgow

UK

利益冲突披露
SAS declares that she has no competing interests.

Consultant Physician and Rheumatologist

Department of Rheumatology

Glasgow Royal Infirmary

Glasgow

UK

利益冲突披露
RM holds shares in GSK to the value less than £12,000.

Dr Sarah A. Saunders and Dr Rajan Madhok would like to gratefully acknowledge Dr Nicola Alcorn, a previous contributor to this monograph. NA declares she has no competing interests.

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Assistant Professor of Neurology

Director of EMG Laboratory & Peripheral Neuropathy Center

Department of Neurology & Neurosciences

New Jersey Medical School

Newark

NJ

利益冲突披露
NS declares that he has no competing interests.

Physician

Department of Neurology

Penn Presbyterian Medical Center

University of Pennsylvania Health System

Philadelphia

PA

利益冲突披露
SK declares that he has no competing interests.

Assistant Professor

Associate Director

Arthritis Program

Director

Behcet's Syndrome Center

Seligman Center for Advanced Therapeutics

New York University Hospital for Joint Diseases

New York

NY

利益冲突披露
YY has served as a consultant for Bristol-Myers Squibb, Roche, Celgene, Centocor, and UCB, and has been a speaker for Pfizer and Bristol-Myers Squibb.

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