双重阴性眼部肌痛性肌痛症的临床特征
Takuma Goto1, Akiko Kimura2, Akiko Masuda2
1Department of Ophthalmology, Hyogo Medical University Hospital, 1-1 Mukogawa-Cho, Nishinomiya, Hyogo, 663-8501, Japan. t.goto.med@gmail.com.
概括
双重阴性眼部肌痛性肌痛症 (DS OMG) 诊断往往需要进行口服皮里多斯提格试验测试. 尽管它被认为是温和的,但DS OMG可能没有乐观的预后,需要积极的治疗.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 免疫学 免疫学 免疫学
背景情况:
- 双重阴性眼部肌痛性肌痛症 (DS OMG) 呈现出诊断方面的挑战.
- 了解DS OMG的临床范围对于及时干预至关重要.
研究的目的:
- 阐明诊断为双重阴性眼部肌痛性肌痛症 (DS OMG) 的患者的临床特征.
主要方法:
- 对61名被诊断为DS OMG的患者进行了回顾性审查.
- 根据最初的表现分为几组:单独的死 (P),单独的眼动力障碍 (M) 和组合 (PM).
- 诊断方法的分析,包括神经肌肉结 (NMJ) 障碍检测和pyridostigmine试验测试.
主要成果:
- 这项研究包括32名男性和29名女性,平均年龄为49.8岁.
- 组M (眼动力障碍) 的男性比例显著更高 (73.9%).
- 通过NMJ障碍 (73.8%),皮里多斯蒂格试验 (13.1%) 或术后发现 (13.1%) 确认了诊断.
- 在54.1%的病例中,口服皮里多斯提格明可以缓解症状.
结论:
- 大约30%的DS OMG患者没有明显的NMJ障碍,需要对pyridostigmine进行诊断测试.
- 与普遍认为的相反,DS OMG可能不是最温和的肌痛性肌痛症,需要坚定的管理.
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