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腺样体扁桃体切除术后慢性炎症性脱髓鞘性多发性神经病缓解

Remission of chronic inflammatory demyelinating polyneuropathy following adenotonsillectomy.

作者信息

Harsha Wayne J, Goco Paulino E, Crawford James V

机构信息

Department of Otolaryngology-Head and Neck Surgery, Madigan Army Medical Center, Tacoma, WA 98431-5000, USA.

出版信息

Ear Nose Throat J. 2003 Jul;82(7):520-1.

Abstract

Patients with chronic inflammatory demyelinating polyneuropathy (CIDP) experience proximal- and distalextremity weakness, sensory loss, and often hyporeflexia or areflexia. CIDP is associated with a variety of concomitant medical illnesses, which often manifest weeks before the onset of muscle weakness and paresis. We describe what we believe is the first reported case of an association between CIDP and recurrent acute adenotonsillitis, which we observed in an 11-year-old girl. Following adenotonsillectomy, the patient's CIDP went into remission and her overall physical condition improved with physiotherapy.

摘要

慢性炎症性脱髓鞘性多发性神经病(CIDP)患者会出现近端和远端肢体无力、感觉丧失,且常伴有反射减退或无反射。CIDP与多种伴发的内科疾病相关,这些疾病常在肌肉无力和麻痹发作前数周出现。我们描述了我们认为是CIDP与复发性急性腺扁桃体炎之间关联的首例报告病例,该病例是在一名11岁女孩身上观察到的。腺扁桃体切除术后,患者的CIDP病情缓解,经物理治疗后她的整体身体状况有所改善。

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