影像技术在皮肌炎诊断和病情评估中的研究进展

doi:10.35541/cjd.20200447

Abstract

Abstract: 【Abstract】 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.

Key words: Dermatomyositis, Skin manifestations, Neuromuscular manifestations, Technology, radiologic, Clinically amyopathic dermatomyositis

Zhang Shimin, Hu Yunyun, Zhao Xiaoqing, Du Lianjun, Cao Hua, Zheng Jie. Application of imaging techniques in diagnosis and severity assessment of dermatomyositis[J]. Chinese Journal of Dermatology, 2022, 55(7): 637-640.doi:10.35541/cjd.20200447

References ［30］

［1］	Cao H, Parikh TN, Zheng J. Amyopathic dermatomyositis or dermatomyositis⁃like skin disease: retrospective review of 16 cases with amyopathic dermatomyositis［J］. Clin Rheumatol, 2009,28（8）:979⁃984. doi: 10.1007/s10067⁃009⁃1152⁃9.
［2］	Bertolazzi C, Cutolo M, Smith V, et al. State of the art on nailfold capillaroscopy in dermatomyositis and polymyositis［J］. Semin Arthritis Rheum, 2017,47（3）:432⁃444. doi: 10.1016/j.semarthrit. 2017.06.001.
［3］	Elmansour I, Chiheb S, Benchikhi H. Nail changes in connective tissue diseases: a study of 39 cases［J］. Pan Afr Med J, 2014,18:150. doi: 10.11604/pamj.2014.18.150.4637.
［4］	Deegan AJ, Wang RK. Microvascular imaging of the skin［J］. Phys Med Biol, 2019,64（7）:07TR01. doi: 10.1088/1361⁃6560/ab03f1.
［5］	Jasso⁃Olivares JC, Tosti A, Miteva M, et al. Clinical and dermoscopic features of the scalp in 31 patients with dermatomyositis［J］. Skin Appendage Disord, 2017,3（3）:119⁃124. doi: 10.1159/000464469.
［6］	Miteva M, Tosti A. Hair and scalp dermatoscopy［J］. J Am Acad Dermatol, 2012,67（5）:1040⁃1048. doi: 10.1016/j.jaad.2012.02. 013.
［7］	Chung MP, Richardson C, Kirakossian D, et al. Calcinosis biomarkers in adult and juvenile dermatomyositis［J］. Autoimmun Rev, 2020,19（6）:102533. doi: 10.1016/j.autrev.2020. 102533.
［8］	Hoeltzel MF, Oberle EJ, Robinson AB, et al. The presentation, assessment, pathogenesis, and treatment of calcinosis in juvenile dermatomyositis［J］. Curr Rheumatol Rep, 2014,16（12）:467. doi: 10.1007/s11926⁃014⁃0467⁃y.
［9］	Blane CE, White SJ, Braunstein EM, et al. Patterns of calcification in childhood dermatomyositis［J］. AJR Am J Roentgenol, 1984,142（2）:397⁃400. doi: 10.2214/ajr.142.2.397.
［10］	Shahi V, Wetter DA, Howe BM, et al. Plain radiography is effective for the detection of calcinosis cutis occurring in association with autoimmune connective tissue disease［J］. Br J Dermatol, 2014,170（5）:1073⁃1079. doi: 10.1111/bjd.12785.
［11］	Hughes M, Hodgson R, Harris J, et al. Imaging calcinosis in patients with systemic sclerosis by radiography, computerised tomography and magnetic resonance imaging［J］. Semin Arthritis Rheum, 2019,49（2）:279⁃282. doi: 10.1016/j.semarthrit.2019.03. 001.
［12］	Hsu V, Bramwit M, Schlesinger N. Use of dual⁃energy computed tomography for the evaluation of calcinosis in patients with systemic sclerosis［J］. Clin Rheumatol, 2015,34（9）:1557⁃1561. doi: 10.1007/s10067⁃015⁃2998⁃7.
［13］	国家皮肤与免疫疾病临床医学研究中心, 中国医师协会皮肤科医师分会皮肤外科亚专业委员会, 中国中西医结合学会皮肤性病学专业委员会皮肤影像学组, 等. 常见皮肤病高频皮肤超声诊断专家共识［J］. 中国医学前沿杂志（电子版）, 2019,11（8）:23⁃28. doi: 10.12037/YXQY.2019.08⁃04.
［14］	Romaní J, Giavedoni P, Roé E, et al. Inter⁃ and intra⁃rater agreement of dermatologic ultrasound for the diagnosis of lobular and septal panniculitis［J］. J Ultrasound Med, 2020,39（1）:107⁃112. doi: 10.1002/jum.15080.
［15］	中国中西医结合学会皮肤性病学专业委员会皮肤影像学组, 国家远程医疗与互联网医学中心皮肤科专委会, 国家皮肤与免疫疾病临床医学研究中心, 等. 炎症性皮肤病反射式共聚焦显微镜诊断特征专家共识［J］. 中国医学前沿杂志（电子版）, 2019,11（8）:34⁃40. doi: 10.12037/YXQY.2019.08⁃06.
［16］	Berekméri A, Tiganescu A, Alase AA, et al. Non⁃invasive approaches for the diagnosis of autoimmune/autoinflammatory skin diseases⁃a focus on psoriasis and lupus erythematosus［J］. Front Immunol, 2019,10:1931. doi: 10.3389/fimmu.2019.01931.
［17］	Targoff IN, Miller FW, Medsger TA Jr, et al. Classification criteria for the idiopathic inflammatory myopathies［J］. Curr Opin Rheumatol, 1997,9（6）:527⁃535. doi: 10.1097/00002281⁃199711000⁃00008.
［18］	Paramalingam S, Counsel P, Mastaglia FL, et al. Imaging in the diagnosis of idiopathic inflammatory myopathies; indications and utility［J］. Expert Rev Neurother, 2019,19（2）:173⁃184. doi: 10. 1080/14737175.2019.1572507.
［19］	Huang Z, Yang M, Chen X, et al. Value of whole⁃body magnetic resonance imaging for screening multifocal osteonecrosis in patients with polymyositis/dermatomyositis［J］. Br J Radiol, 2017,90（1073）:20160780. doi: 10.1259/bjr.20160780.
［20］	Guimarães JB, Nico MA, Omond AG, et al. Diagnostic imaging of inflammatory myopathies: new concepts and a radiological approach［J］. Curr Rheumatol Rep, 2019,21（3）:8. doi: 10.1007/s11926⁃019⁃0807⁃z.
［21］	Mohannak N, Pattison G, Hird K, et al. Dysphagia in patients with sporadic inclusion body myositis: management challenges［J］. Int J Gen Med, 2019,12:465⁃474. doi: 10.2147/IJGM.S198031.
［22］	吴小青, 贾岩龙, 余开湖. 皮肌炎/多发性肌炎的磁共振成像研究进展［J］. 临床放射学杂志, 2018,37（4）:716⁃718.
［23］	Albayda J, van Alfen N. Diagnostic value of muscle ultrasound for myopathies and myositis［J］. Curr Rheumatol Rep, 2020,22（11）:82. doi: 10.1007/s11926⁃020⁃00947⁃y.
［24］	Endo Y, Miller TT. Myositis and fasciitis: role of imaging［J］. Semin Musculoskelet Radiol, 2018,22（3）:286⁃298. doi: 10. 1055/s⁃0038⁃1641572.
［25］	Selva⁃O′Callaghan A, Gil⁃Vila A, Simó⁃Perdigó M, et al. PET scan: nuclear medicine imaging in myositis［J］. Curr Rheumatol Rep, 2019,21（11）:64. doi: 10.1007/s11926⁃019⁃0864⁃3.
［26］	Li Y, Zhou Y, Wang Q. Multiple values of 18F⁃FDG PET/CT in idiopathic inflammatory myopathy［J］. Clin Rheumatol, 2017,36（10）:2297⁃2305. doi: 10.1007/s10067⁃017⁃3794⁃3.
［27］	McCann LJ, Garay SM, Ryan MM, et al. Oropharyngeal dysphagia in juvenile dermatomyositis （JDM）: an evaluation of videofluoroscopy swallow study （VFSS） changes in relation to clinical symptoms and objective muscle scores［J］. Rheumatology （Oxford）, 2007,46（8）:1363⁃1366. doi: 10.1093/rheumatology/kem131.
［28］	Oh TH, Brumfield KA, Hoskin TL, et al. Dysphagia in inflammatory myopathy: clinical characteristics, treatment strategies, and outcome in 62 patients［J］. Mayo Clin Proc, 2007,82（4）:441⁃447. doi: 10.4065/82.4.441.
［29］	Azola A, Mulheren R, Mckeon G, et al. Dysphagia in myositis: a study of the structural and physiologic changes resulting in disordered swallowing［J］. Am J Phys Med Rehabil, 2020,99（5）:404⁃408. doi: 10.1097/PHM.0000000000001354.
［30］	Ertekin C, Seçil Y, Yüceyar N, et al. Oropharyngeal dysphagia in polymyositis/dermatomyositis［J］. Clin Neurol Neurosurg, 2004,107（1）:32⁃37. doi: 10.1016/j.clineuro.2004.02.024.

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Application of imaging techniques in diagnosis and severity assessment of dermatomyositis

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