影像技术在皮肌炎诊断和病情评估中的研究进展  

Application of imaging techniques in diagnosis and severity assessment of dermatomyositis

作　　者：张诗敏 胡赟赟[2] 赵肖庆[1] 杜联军[3] 曹华[1] 郑捷[1] Zhang Shimin;Hu Yunyun;Zhao Xiaoqing;Du Lianjun;Cao Hua;Zheng Jie(Department of Dermatology,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Ultrasound,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Radiology,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院皮肤科,上海200025 [2]上海交通大学医学院附属瑞金医院超声科,上海200025 [3]上海交通大学医学院附属瑞金医院放射科,上海200025

出　　处：《中华皮肤科杂志》2022年第7期637-640,共4页Chinese Journal of Dermatology

基　　金：国家自然科学基金(81573037、81872523);国家临床重点专科建设项目(2012649);上海市科委科研计划项目(134119a6100);上海申康医院发展中心临床创新能力三年行动计划项目(16CR3084B);上海交通大学医学院高峰学科--临床医学研究型医师项目(20172009);上海市"医苑新星"杰出青年医学人才培养资助计划(2019)。

摘　　要：皮肌炎是一种累及皮肤和肌肉的自身免疫性疾病,起病时临床表现不典型且缺乏血清学标记物,早期诊断较为困难。皮肌炎和临床无肌病性皮肌炎的皮损和肌肉病变与疾病活动性及预后相关,通过CT、核磁共振成像、超声、皮肤镜等影像学技术评估皮肤和肌肉受累情况,不仅可以提高皮肌炎早期诊断的准确性,而且可以为疾病活动及预后评估提供重要依据。Dermatomyositis is an autoimmune disease involving the skin and muscles.At the onset of dermatomyositis,it is difficult to make an early diagnosis due to atypical clinical manifestations and lack of serological markers.Skin and muscle lesions are associated with disease activity and prognosis in patients with dermatomyositis or clinical amyopathic dermatomyositis.Computed tomography,magnetic resonance imaging,ultrasonography,dermoscopy and other imaging techniques may be used to assess skin and muscle involvements,which can not only improve the accuracy of early diagnosis of dermatomyositis,but also provide important reference for the assessment of disease activity and prognosis.

关 键 词：皮肌炎 皮肤表现 神经肌肉表现 工艺学、放射学 临床无肌病性皮肌炎 

分 类 号：R593.26[医药卫生—内科学] R445[医药卫生—临床医学]