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吉兰-巴雷综合征与急性淋巴细胞白血病:病例报告

Eman R E Almatar¹, Sondus Alsharidah¹, Maha Bourusly¹

¹Department of Pediatrics, NBK Children Specialized Hospital, Sabah, Kuwait.

International medical case reports journal

|February 28, 2025

概括

吉兰-巴雷综合征 (GBS) 是患有急性淋巴细胞白血病 (ALL) 的儿童的一种罕见并发症. 及时诊断和静脉注射免疫球蛋白治疗对于这些患者的GBS管理至关重要.

科学领域:

儿科瘤学儿科瘤学
神经学神经学
血液学血液学血液学

背景情况:

急性淋巴细胞白血病 (ALL) 是一种常见的儿童癌症.
吉兰-巴雷综合征 (GBS) 是一种罕见的神经并发症,可发生在ALL患者中.
区分GBS与化疗诱导的神经病变对于有效管理至关重要.

研究的目的:

报告一例Guillain-Barré综合征 (GBS) 病例,该病例发生在正在接受急性淋巴细胞白血病 (ALL) 维持治疗的儿科患者身上.
讨论在ALL的背景下GBS的诊断挑战和管理策略,特别是将其与温克里斯诱导的神经病变区分开来.

主要方法:

病例报告详细介绍了一名患有ALL的16岁男性GBS的演示,诊断工作和治疗.
诊断方法包括神经传导研究和腰部穿刺.
治疗包括静脉注射免疫球蛋白和支持性护理.

主要成果:

患者呈现出渐进的对称虚弱,感官丧失和自主功能障碍.
通过电生理学和脑脊液分析证实了GBS的诊断.
患者对静脉注射免疫球蛋白治疗有积极反应.

结论:

在患有急性淋巴细胞白血病的儿童的神经症状的差异诊断中应考虑吉兰-巴雷综合征.
早期识别和适当的治疗,包括区分GBS和化疗诱导的神经病变,对于有利的结果至关重要.

关键词:

急性淋巴细胞白血病急性淋巴细胞白血病免疫媒介疾病是一种免疫媒介疾病.神经病变是一种神经病变.儿科瘤学儿科瘤学

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