Dermatomyositis with severe diarrhea and one cases of Phytophotodermatitis.docVIP

 PAGE \* MERGEFORMAT 10 Dermatomyositis with severe diarrhea and one cases of Phytophotodermatitis [Keywords:] Dermatomyositis diarrhea Phytophotodermatitis The author in clinical diagnosis and treatment of dermatomyositis with severe diarrhea and Phytophotodermatitis 1 case, the report is as follows. 1 Case Information Female patient, 69 years old. For generalized itchy rash 4 months, increasing with muscle soreness a month, on November 25, 2008 clinic I inpatient treatment. 4 months ago in patients with bilateral lateral thigh appears bright red stain films, papules, itching obvious skin lesions gradually expanded the scope, involving the upper extremity extensor side; 1 month ago in the forehead, around the eyelids, neck, scalp, upper chest appeared similar to the red spot films, intense itching, and rash color deepened, was purple, and with aching limbs, squatting and standing difficulties in both lower extremities, weakness evident. Six months ago, was found in patients with physical examination ‘right breast medullary carcinoma’ OK ‘right modified radical mastectomy for breast cancer’ treatment, after a continuous service exemestane anticancer drug 2 more than a month. Patients have a history of penicillin allergy, denying the history of other drugs and food allergies. Patients admitted to hospital the previous year and had been eating white radish, carrot, radish leaves, burdock, shiitake mushrooms and other vegetables boiled soup, there is exposure history. Since prior to the onset and pathogenesis in patients without diarrhea. Physical examination: heart rate 80 times / min, law is incomplete, and can be heard, and premature beats 5 ~ 6 times / min. Grade Ⅳ limb muscle strength, tendon reflexes diminished, double upper, double lower limb proximal muscle tenderness. The rest of the system, no exceptions. Dermatology examination: forehead, two eyes inside, neck, trunk, upper limbs, bilateral leg edema and erythema large, some attached to a small am