由同时出现的焦虑症状引起的肌痛性肌痛症的延迟诊断
Valentina Gasparini1,2, Daniele Mattavelli3, Leonardo Pantoni4,5,6
1Neuroscience Research Center, Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
概括
焦虑症可以掩盖肌痛性骨髓灰质炎 (MG) 的症状,延迟诊断和治疗. 将MG误诊为焦虑症会导致症状恶化和严重的健康后果.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 精神病学是一个精神病学.
背景情况:
- 骨髓灰质炎 (MG) 是一种常见的自身免疫神经肌肉结合障碍.
- 患有MG的患者经常经历同时出现的抑郁和焦虑,这可能会推迟MG诊断.
- 抗焦虑药物,如二类药物,可能会对神经肌肉功能产生负面影响,并加剧MG症状.
研究的目的:
- 为了突出焦虑症如何掩盖肌痛性骨髓质疏松症.
- 强调误诊的可能性及其严重后果.
主要方法:
- 一个54岁的妇女的病例报告,她患有气柱发作的MG.
- 该患者出现了最初归因于COVID-19大流行期间焦虑障碍的症状.
- 焦虑症的治疗导致症状恶化,需要紧急护理.
主要成果:
- 患者的表现模仿了焦虑障碍,延迟了正确的MG诊断.
- 精神病治疗药物恶化了患者的神经肌肉状况.
- 该案例说明了患有同时出现MG和焦虑症的患者的诊断挑战.
结论:
- 同时出现的焦虑障碍可能会掩盖严重肌痛性肌痛症的诊断,特别是在没有典型的日间症状变异的情况下.
- 将MG误诊为焦虑障碍可能导致不适当的治疗和不良结果.
- 及时和准确的诊断对于有效管理严重骨髓灰质炎至关重要.
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