味觉障碍和白发症在严重肌痛性肌痛症
Akiyuki Uzawa1, Shigeaki Suzuki2, Satoshi Kuwabara3
1Department of Neurology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba-shi, Chiba, 260-8670, Japan. auzawa@chiba-u.jp.
BMC neurology
|April 25, 2024
概括
诸如味觉障碍和脱发等非运动性症状影响了超过6%的肌痛性严重性 (MG) 患者. 这些症状,特别是味觉障碍,与严重的MG和胸腺瘤有关,需要临床注意.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
背景情况:
- 肌痛性骨髓灰质炎 (MG) 的非运动症状未被充分认识到.
- 之前对MG非运动症状的研究范围和规模有限.
研究的目的:
- 为了调查味觉障碍和脱发症的患病率和临床特征,在一个大队列的严重肌痛症患者.
- 为了确定患者的特征和与这些非运动症状相关的疾病因素.
主要方法:
- 利用了2021年日本MG注册表的数据,其中包括1710名被诊断患有骨髓质疏松症的患者.
- 分析了患者队伍中味觉障碍和脱发症的发病率和临床特征.
- 使用多变量逻辑回归来确定非运动症状与MG严重程度,亚型和胸腺瘤之间的关联.
主要成果:
- 在MG患者中,6.1%报告了味觉障碍,8.2%报告了脱发.
- 味觉障碍在女性中更为普遍,严重/耐火性MG,以及与胸腺瘤相关的MG,通常发生在MG发病后,并且对治疗有反应.
- 脱发症与气囊性和胸腺瘤有关,经常在MG发病之前,有时对治疗有反应.
结论:
- 临床医生应将味觉障碍和脱发症视为严重的非运动症状.
- 意识至关重要,特别是对于患有严重MG症状和胸腺瘤相关的MG患者来说,以确保全面的患者护理.
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