一例伴有肌痛和轻度肌无力的吉兰-巴雷综合征报告。
A report of guillain-barré syndrome with myalgia and mild weakness.
作者信息
Aminzadeh Vahid, Hassanzadeh Rad Afagh
机构信息
1.Pediatrics growth disorders research center, 17 Shahrivar Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
出版信息
Iran J Child Neurol. 2014 Spring;8(2):70-2.
We report a rare case that revealed severe myalgia as the chief complaint that is not mentioned in the list of frequent symptoms of Guillain Barré. Guillain-Barré syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy (AIDP).Required features for diagnosis of GBS are progressive motor weakness of more than one limb and areflexia. We report an 11-yearold boy who was referred to the emergency department with complaints of generalized body pain and gate problem. It seems that if myalgias are the chief complaint and weakness is mentioned as a less important symptom, clinicians should consider GBS after ruling out other reasons for myalgia especially inflammatory myositis.
我们报告了一例罕见病例，该病例以严重肌痛为主要诉求，而格林-巴利综合征常见症状列表中并未提及这一点。格林-巴利综合征（GBS）是一种急性炎症性脱髓鞘性多发性神经病（AIDP）。GBS诊断的必备特征是多肢体进行性运动无力和腱反射消失。我们报告一名11岁男孩，因全身疼痛和步态问题被转诊至急诊科。似乎如果肌痛是主要诉求，而无力作为不太重要的症状被提及，临床医生在排除肌痛的其他原因尤其是炎性肌炎后应考虑GBS。
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