病例周××,男,52岁,1979年11月23日入院。患者于1978年3月起病,由双侧足踝开始发生上行性非压陷性水肿,伴关节酸痛,不发热;3个月后面、颈、上胸部皮肤出现弥漫性红肿。发病后用中药治疗未获效,损害持续几个月后自行缓慢隐退。1979年初自觉肌力明显减退,活动困难,声嘶,曾在某地住院诊疗,经三角肌活检确诊为“皮肌炎”,用强的松治疗好转,出院后因农村诊疗不便等原因,治疗时断时续。4月开始出 Case week × ×, male, 52 years old, November 23, 1979 admission. The patient developed onset in March 1978 with ascending non-sessile edema, bilateral joint ankles, and no fever with bilateral ankles. Three months later, there was diffuse redness in the skin of the neck and upper chest. After the onset of treatment with Chinese medicine has not been effective, the damage continued slowly retreat after a few months. In early 1979 consciously decreased muscle strength, activity difficulties, hoarseness, had a hospital treatment, the deltoid muscle biopsy diagnosed as “dermatomyositis”, with prednisone improved, discharged due to inconvenience in rural areas such as treatment, treatment Discontinuous. April start out