Oliveira Saulo Gomes de, Pombo Eduardo Hosken, Batista Priscila Rossi de, Cardoso Igor Machado, Rezende Rodrigo
Resident Physician (R3) in Orthopedics and Traumatology, Vila Velha Hospital and Santa Casa Hospital, Vitória, ES.
Orthopedist and Specialist in Shoulder and Elbow Surgery, Vila Velha Hospital, ES.
Rev Bras Ortop. 2015 Nov 17;45(4):456-9. doi: 10.1016/S2255-4971(15)30397-9. eCollection 2010 Jul-Aug.
Parsonage-Turner Syndrome is a rare disease that affects the musculature of the scapular girdle, leading to muscle atrophy and large motor deficit. The etiology is uncertain, but it is believed that infectious and autoimmune factors are involved. The diagnosis is made by exclusion, and the main differential diagnoses are cervical disc hernias, rotator cuff injuries and rheumatic diseases. During diagnostic investigations, we perform laboratory tests, radiographs and MRI on the shoulders and cervical spine, with emphasis on electroneuromyography to help in making a definitive diagnosis. This case report is presented because it shows a disease that is rarely associated with HIV seropositivity and the importance of early diagnosis for better treatment of these patients.
帕森奇-特纳综合征是一种罕见疾病，会影响肩胛带肌肉组织，导致肌肉萎缩和严重运动功能障碍。病因尚不明确，但据信与感染和自身免疫因素有关。诊断需排除其他疾病，主要鉴别诊断包括颈椎间盘突出症、肩袖损伤和风湿性疾病。在诊断检查过程中，我们会对肩部和颈椎进行实验室检查、X光片和核磁共振成像检查，尤其注重肌电图检查以辅助做出明确诊断。呈现此病例报告是因为它显示了一种很少与HIV血清阳性相关的疾病，以及早期诊断对于更好治疗这些患者的重要性。
