和严重骨髓灰质炎:一个案例系列
Iñigo Oyarzun1,2, Guillermo Hernández2, Jacint Sala-Padró2
1Neurology Service, Hospital de Basurto, 48013 Bilbao, Spain.
Brain sciences
|September 28, 2024
概括
和严重骨髓灰质炎很少同时发生. 在成年人中,通常先于肌痛性骨髓灰质炎,有些病例显示自身免疫链接和共存的自身免疫疾病.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
背景情况:
- 和骨髓灰质炎之间的关联很少被记录下来.
- 以前的报道仅限于小型案例系列.
研究的目的:
- 为了确定肌痛性患者的发病频率,反之亦然.
- 描述患有这两种疾病的患者的临床特征.
- 探索潜在的生理病理学机制.
主要方法:
- 在2022年进行的回顾性观察性研究.
- 成年患者从一个专门的骨髓灰质炎和病单位招募.
- 分析了五名患有并发疾病的患者的临床数据.
主要成果:
- 肌痛性骨髓灰质炎队列中的发病频率: 1.1% (5/469).
- 在患者队列中,肌痛性肌痛症的发生频率:0.35% (5/1432).
- 所有患者都患有焦点性,往往耐药性;肌痛性骨髓灰质炎在3/5.5普遍化.
- 发作在所有病例中都先于肌痛神经衰弱发作.
- 在3/5的患者中考虑了自身免疫病因;其他自身免疫疾病在40%中存在.
结论:
- 和肌痛性骨髓灰质炎是很少相关的.
- 发作通常在成年人中发生严重肌痛性肌痛发作之前.
- 一些病例表明共享的自身免疫病因或与其他自身免疫疾病的共存.
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