小和大纤维神经病变在患有1型肌性缩症的成年人
Gro Solbakken1,2, Sissel Løseth3,4, Jan C Frich5
1Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Frontiers in neurology
|March 20, 2024
概括
肌性缩症1型 (DM1) 在大多数患者中引起慢性疼痛. 小纤维神经病,一种神经疾病,很常见,可能解释了DM1患者经历的疼痛.
科学领域:
- 神经学 神经学
- 遗传学 是一个遗传学.
- 疼痛医学 医学 疼痛医学
背景情况:
- 肌性失调1型 (DM1) 是一种多系统遗传的神经肌肉疾病.
- 在DM1患者中经常报告疼痛和外围神经病变.
研究的目的:
- 为了调查疼痛症状和小和大纤维神经病变在青少年和成年人DM1.的存在.
- 为了比较DM1患者与健康对照者的外周神经发现.
主要方法:
- 包括20名经过遗传验证的DM1患者.
- 评估疼痛,进行神经检查,并通过皮肤活检检查小神经纤维,定量感官测试和神经传导研究来评估周围神经系统.
主要成果:
- 17名患者报告了慢性疼痛.
- 50%的患者表现出大和/或小纤维异常.
- 与健康对照组相比,DM1患者表现出明显较低的皮内神经纤维密度.
结论:
- 小纤维神经病变是1型肌肉性缩症患者疼痛的潜在重要原因之一.
- 这些发现强调了在DM1治疗中评估外围神经病变的重要性.
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