陕西医学杂志Issue(7):804-806,3.DOI:10.3969/j.issn.1000-7377.2014.07.013
脂质沉积性肌病21例临床分析
Clinical analysis of lipid storage myopathy 21 cases
武涛 1吴海琴 2贾颐 1周金津 1党根喜1
作者信息
- 1. 西安高新医院神经内科
- 2. 西安交通大学医学院第二附属医院神经内科 西安710004
- 折叠
摘要
Abstract
Objective:To study the clinical and pathological features of misdiagnosised lipid storage myopa-thy(LSM ) ,and further discover the reasons of diagnosis error in this disease .Methods:The clinical data ,the results of neuro-electrophysiological and pathology of the 21 patients were analyzed and the related documents were re-viewed .Results :The 21 patients who presented myasthenia with proximal of extremities ,a rise of creatase in serum . The neuro-electrophysiological changes varied ,which could be neurogenetic changes combined with muscular abnor-malities ,as well as the 12 patients were once mistakenly diagnosed as polymyositis ,limb-girdle muscular dystrophy and myasthenia gravis .They were confirmed to be LSM by pathology .Conclusion:The clinical manifestations of LSM are nonspecifie muscle weakness which should be differentiate with related myopathy ,the definite diagnosis is de-pendent on pathological examination .关键词
脂质沉积性肌病/诊断/治疗Key words
Lipid storage myopathy/Diagnosis/Therapy分类
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武涛,吴海琴,贾颐,周金津,党根喜..脂质沉积性肌病21例临床分析[J].陕西医学杂志,2014,(7):804-806,3.