皮肌炎伴发精神障碍1例

Dermatomyositis Combined with Mental Disorders: A Case Report

摘要: 皮肌炎(dermatomyositis, DM)是一种主要累及骨骼肌和皮肤的自身免疫性疾病，常伴有特征性皮肤表现，继发或并发精神病性症状为临床少见。现报道一例DM继发精神病症状，在应用糖皮质激素基础上，联合小剂量抗精神病药物，获得良好效果的患者，以提高临床医生对DM合并精神症状的认识水平。

Abstract: Dermatomyositis is an autoimmune disease that primarily affects skeletal muscle and skin, often accompanied by characteristic skin damage manifestations. Secondary or concurrent psychiatric symptoms are clinically rare. Now we report a patient with secondary psychiatric symptoms, who achieved good results in combination with low-dose antipsychotic drugs on the basis of glucocorticoids. The purpose is to improve the clinical doctors’ recognition level on DM combined with psychiatric symptoms.