在重复吞时呈现的晚期发病的肌痛性肌痛和喉升高的逐渐降低:一个病例报告.
Yujuan Han1, Dawei Zang2, Xiaoping Kang1
1Tiantan Xiaotangshan Rehabilitation Center Beijing Xiaotangshan Hospital Beijing China.
Clinical case reports
|April 18, 2025
概括
在65岁以上的个体中,非常晚发的肌痛性肌痛症 (VLOMG) 可以作为孤立的吞困难呈现. 早期识别食不良和喉升高降低等症状对于及时诊断和管理至关重要.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 胃肠病学 胃肠病学
背景情况:
- 非常晚发的肌痛性肌痛性肌痛 (VLOMG) 是一种罕见的肌痛性肌痛性肌痛性肌痛 (MG) 亚型,其特点是65岁后的发病.
- 缺食症和缺动性关节炎是MG中常见的症状,但在VLOMG中可以隔离.
研究的目的:
- 要突出考虑老年患者出现特定的吞异常时考虑VLOMG的重要性.
- 描述一个VLOMG病例,呈现出孤立的消化不良.
主要方法:
- 一个72岁的患有食障碍的病人的病例报告.
- 诊断评估包括上部胃肠道放射.
- 对抗乙胆受体 (anti-AChR) 抗体进行血清检测.
主要成果:
- 上部胃肠道放射显示喉吞启动延迟,食道上部关节不充分开放.
- 在吞过程中观察到喉升高的逐渐减少,这表明MG.
- 该患者的抗AChR抗体检测呈阳性,并经历了I型呼吸衰竭,需要通风支持.
结论:
- 应该怀疑VLOMG在65岁以上的患者突然,孤立的消化不良或消化不良.
- 典型的放射性发现,如喉升高的降低,可以帮助诊断.
- 及时识别和管理对于改善患者的治疗结果至关重要.
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