由疹病毒感染引起的单边出汗减少:一个病例报告
Wenju Li1, Bingquan Leng1, Jing Zhao2,3
1Department of Neurology, Central Hospital of Rizhao, 66 Wanghai Road, Rizhao Shandong, 276800, China.
BMC neurology
|July 25, 2024
概括
带状疹 (VZV) 可能导致罕见的神经并发症,如由于自主神经系统损伤而导致单边出汗减少. 这一案例突出了影响交感神经的VZV重新激活,导致身体一侧的出汗减少.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
背景情况:
- 带状疹是由疹病毒 (VZV) 再激活引起的,通常会影响神经系统.
- 神经系统并发症包括脑膜炎和神经病变,但单方面减少出汗是非常罕见的.
- VZV潜伏发生在脊柱或骨.
研究的目的:
- 报告一种罕见的单边出汗减少病例,这是疹二次性.
- 为了研究这种罕见并发症的神经基础.
- 强调在患有急性半身出汗减少的患者中考虑VZV的重要性.
主要方法:
- 一个34岁的妇女的病例报告,她单方面出汗,喉疼痛和头.
- 身体检查显示有疹病变,左侧出汗减少.
- 诊断工具包括MRI,腰部穿刺以确认VZV脑膜炎,以及电肌图以评估交感神经功能.
主要成果:
- 这名患者被诊断患有VZV脑膜炎.
- 电肌图证实了左交感神经损伤.
- 这些发现支持VZV的重新激活是导致单方面降低出汗的原因.
结论:
- 单边降低出汗是一种罕见的疹神经并发症,由自主神经系统损伤引起.
- 在自主性质中VZV的重新激活会导致这种情况.
- 临床医生应在急性单边降低出汗的差异诊断中考虑疹.
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