论文部分内容阅读
本文报告一例多发性风湿性肌痛伴弥漫性脑病对激素治疗有效.患者系女性,68岁,进行性痴呆两年,近端肌肉无力、疼痛八个月.记忆力减退,精神错乱,语言累赘.尤以早晨近端肌肉疼痛、强直更为明显,不能立起.一般情况好.无体重减轻,无头痛,无有关家族史.未接受过药物治疗.持续低热,淋巴结不肿大,无关节炎、皮损及颅动脉炎的体征.智能完全受损,颅神经正常.近端肌肉有压痛,影响肌力检查.远端肌力正常,腱反射对称,活跃.共济运动及感觉正常.血象除血色素略低外,余均正常.血沉80毫米/小时,各项血生化指标及肌酸激酶
This article reports a case of multiple rheumatic myalgia with diffuse encephalopathy on hormone therapy.Patients female, 68 years of age, dementia for two years, the proximal muscular weakness, pain for eight months, memory loss, confusion, language cumbersome. Especially in the morning near the distal muscle pain, ankylosis is more obvious, can not stand up. Good general condition. No weight loss, no headaches, no family history. Have not received medical treatment. Continued fever, lymph node enlargement, non-arthritis , Lesions and signs of cranial arteritis .Intelligent completely damaged, normal cranial nerves.My proximal tenderness muscles, affecting muscle strength examination.Diagonal muscle strength is normal, tendon reflex symmetry, active.Akomoto and sensory blood. In addition to the hemoglobin slightly lower, I were more than normal erythrocyte sedimentation rate 80 mm / h, the various blood biochemical markers and creatine kinase