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僵人综合征:一名患有糖尿病和甲状腺炎的年轻女性的诊断难题。

Stiff man syndrome: a diagnostic dilemma in a young female with diabetes mellitus and thyroiditis.

作者信息

Enuh Hilary, Park Michael, Ghodasara Arjun, Arsura Edward, Nfonoyim Jay

机构信息

Department of Medicine, Richmond University Medical Center, Staten Island, NY, USA.

出版信息

Clin Med Insights Case Rep. 2014 Nov 30;7:139-41. doi: 10.4137/CCRep.S16941. eCollection 2014.

Abstract

Stiff Person Syndrome (SPS), is a very rare neuroimmunologic disorder characterized by progressive muscle pain, rigidity, stiffness, and spasms. It can be very debilitating if misdiagnosed or not recognized in time. Herein we discuss a case of a female in her 20s who presented with an unsteady gait, lower extremity weakness, persistent leg pain, and stiffness few weeks after uncomplicated childbirth. She has type 1 diabetes mellitus (DM) and was diagnosed with thyroiditis in the course of her illness. The triad of thyroiditis, DM, and stiffness with normal neuroimaging in a young female patient is an unusual occurrence.

摘要

僵人综合征(SPS)是一种非常罕见的神经免疫性疾病,其特征为进行性肌肉疼痛、僵硬、强直和痉挛。如果误诊或未及时识别,它可能会使人非常虚弱。在此,我们讨论一例20多岁女性的病例,该患者在顺产几周后出现步态不稳、下肢无力、持续性腿痛和僵硬。她患有1型糖尿病(DM),在病程中被诊断出患有甲状腺炎。在一名年轻女性患者中,甲状腺炎、DM和神经影像学正常的僵硬三联征是一种不寻常的情况。

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