case report
...ence of non-nurogenic skeletal muscular injury. The disease was diagnosed as DM.From september,1996 to october,1999, the skin lesions and muscular weakness had relapsed several times.During the disease relapsing,the drugs were used as follows:methatrexate,prednisone,simultaniously pulse therapy with methatrexate or methylprednisolone.The modality was not planned.The details of therapy and the efficiency are not clear.For the duration,the level of CK fluctuated between 94~1299u/l. During recent one month,the rash and weakness exacerbated again without constitutional symptoms and dysphagia.Laboratory manifestation completed on 2st,Nov 1999 demonstrated CK 3392u/l,LDH 748u/l,AST 200u/l.The maintnance dose of prednisone is 30mg/d. Past history:No significant findings. Family history:No other member of her family suffers from the same disease as her. During patient hospitalized, the regimen was follows: predisone 60mg/d, lei gong teng 60mg/d and pulse therapy with methylprednisolone .After 3 months, the rash was almost clear, the muscle strength was improved, the myalgia was alleviated and the level of ...