在患有乙胆受体抗体阳性肌痛严重症患者的嗅觉功能障碍
Hee Jo Han1, Hyun Ji Lyou2, Seung Woo Kim1
1Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Journal of clinical neurology (Seoul, Korea)
|October 28, 2025
概括
患有骨髓灰质炎 (MG) 的患者具有更高的嗅觉功能障碍的风险. 这种嗅觉障碍与MG患者的老年和较低的乙胆受体 (AChR) 抗体水平有关.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 感官科学 感官科学
背景情况:
- 骨髓灰质炎 (MG) 是一种影响神经肌肉结合的自身免疫性疾病,主要以运动症状而闻名.
- 新出现的证据表明,MG中也可能出现非运动症状,如嗅觉障碍.
- 在MG中嗅觉功能障碍的患病率和临床意义尚未得到充分确立.
研究的目的:
- 为了比较MG患者和健康对照者的嗅觉功能.
- 为了确定与MG患者的嗅觉功能障碍相关的临床因素.
主要方法:
- 招募了51名乙胆受体 (AChR) 抗体阳性MG患者和43名健康对照.
- 通过韩国版本的嗅棍II (KVSS II) 测试 (气味值,区分,识别) 评估嗅觉功能.
- 组之间的嗅觉功能和临床因素的比较,根据年龄和性别进行调整.
主要成果:
- 经过调整后,MG患者的嗅觉功能障碍风险显著增加 (OR=3.6,p=0.008),即使在调整后.
- 在MG患者中,嗅觉功能障碍与年龄较大 (p=0.002) 和较低的ACHR抗体标位 (p=0.029) 有关.
结论:
- 嗅觉功能障碍在MG患者中明显比健康人群更为普遍.
- 这些发现强调需要进一步研究MG中嗅觉丧失的机制和临床影响.
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