国内曾报告过5例甲状旁腺机能亢进性肌病,均为女性,现报告1例男性患者。 患者,男性,12岁,学生。二年前无明显诱因感双下肢乏力,双膝关节酸痛,但无红肿,逐渐出现鸭步。半年来,双上肢亦无力。于1989午4月拟诊“进行性肌营养不良症”入院。既往史及家族史阴性。检查:四肢近端肌力3～4级,远端肌力4级,肌张力低下,三角肌及肱二、三头肌均有萎缩,髂腰肌、臀大肌、股四 In China, 5 cases of hyperparathyroidism myopathy were reported, both of which were female. One male patient was reported. Patient, male, 12 years old, student. Two years ago, no obvious incentive to feel weakness in both lower extremities, knees, joint pain, but no swelling, and gradually duck step. Six months ago, both upper extremities also weakness. In April 1989 the proposed diagnosis of “progressive muscular dystrophy” admission. Past history and family history negative. Check: proximal limb muscle strength 3 to 4, distal muscle strength 4, low muscle tension, deltoid and brachial, triceps are atrophy, iliopsoas, gluteus maximus,