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结节性多关节炎最初呈现为并发的外围神经病变和单侧四肢肌炎:一个病例报告
In Jun Han1, Chang Hyeon Jeong1, Hyoseon Choi1,2
1Department of Rehabilitation Medicine, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Republic of Korea.
Medicine
|July 21, 2023
概括
多关节炎 (PAN) 可以异常表现为外围神经病变和肌肉炎. 在患有根部疼痛和焦点肌肉疼痛的患者中,早期识别PAN至关重要,以确保及时诊断和治疗.
科学领域:
- 类风湿病学 类风湿病学
- 神经学 神经学
- 血管医学 血管医学
背景情况:
- 一名62岁的男性出现了外围神经病变和肌肉炎.
- 最初的症状包括根部疼痛,运动软弱和肌痛,没有典型的器官参与.
- 该病例突出了多关节炎 (PAN) 的非典型表现.
研究的目的:
- 报告一例多关节炎 (PAN) 病例,最初呈现为外围神经病变和肌肉炎.
- 强调在患有异常神经和肌肉症状的患者中考虑PAN的重要性.
- 讨论PAN.的诊断挑战和标准.
主要方法:
- 一个62岁的男性患者的病例报告.
- 诊断工作包括磁共振成像,电诊断测试和肌肉活检.
- 在症状进展后根据2007年欧洲药物局算法和美国风湿病学学院的标准重新归类为PAN.
主要成果:
- 这位患者最初被诊断为多聚炎和坐骨神经病变.
- 丸疼痛的发展促使怀疑血管炎,导致PAN诊断.
- 用葡萄糖皮质激素和抗病毒药物的治疗导致症状改善,没有复发.
结论:
- 在出现根部和焦点肌肉疼痛的患者中,应考虑多关节炎 (PAN).
- PAN的非典型表现可以模仿其他神经和类风湿病的情况.
- 及时诊断和适当的治疗对于PAN的良好结果至关重要.
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