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以孤立性脊柱受累为表现的神经结节病:1例报告并文献复习

Neurosarcoidosis presenting with isolated spinal involvement: report of a case and review of the literature.

作者信息

Kourelis Taxiarchis V, Manola Akrivi, Lyons Robert W, Lahiri Bimalin

机构信息

Department of Medicine, Saint Francis Hospital and Medical Center, Hartford, USA.

出版信息

Conn Med. 2012 Nov-Dec;76(10):599-602.

Abstract

Spinal sarcoidosis is a rare manifestation of sarcoidosis that can present a major diagnostic challenge. Herein we present a case of a previously healthy 55-year-old man who presented with leg weakness and was found to have diffuse involvement of his spinal cord by neurosarcoidosis. He was treated with steroids and recovered completely. The clinical characteristics, radiographic and laboratory findings of spinal sarcoidosis are discussed. Management strategies, including the use of newer targeted therapies, are also reviewed.

摘要

脊柱结节病是结节病的一种罕见表现,可能带来重大的诊断挑战。在此,我们报告一例病例,患者为一名55岁既往健康男性,因腿部无力就诊,经诊断为神经结节病累及脊髓。他接受了类固醇治疗并完全康复。本文讨论了脊柱结节病的临床特征、影像学和实验室检查结果。还回顾了包括使用新型靶向治疗在内的管理策略。

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