米勒-费希尔综合征
Miller Fisher syndrome.
作者信息
Gupta Suresh Kumar, Jha Kunal Kishor, Chalati Mhd Diaa, Alashi Losan Tareq
机构信息
Department of Internal Medicine/Geriatrics, Forest Glen Medical Center, Silver Spring, Tennessee, USA.
Critical Care Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA.
出版信息
BMJ Case Rep. 2016 Oct 13;2016:bcr2016217085. doi: 10.1136/bcr-2016-217085.
Abstract
A man aged 30 years presented to the emergency department (ED) with ataxia, areflexia, facial weakness, ophthalmoplegia, extremity weakness and back pain for 4 days. 4 days prior to attending the ED, the patient had suffered from diarrhoea for 2 weeks. The diagnosis of Miller Fisher syndrome was performed on the dual basis of clinical features in addition to an investigations report. Nerve conduction studies and anti-GQ1b IgG antibody analysis were requested. Once IgA deficiency was ruled out, the patient was started on intravenous immunoglobulin (400 mg/kg/day).
摘要
一名30岁男性因共济失调、反射消失、面部无力、眼肌麻痹、肢体无力和背痛4天就诊于急诊科。在前往急诊科的4天前，该患者已腹泻2周。除了一份检查报告外，根据临床特征双重诊断为米勒-费雪综合征。要求进行神经传导研究和抗GQ1b IgG抗体分析。一旦排除IgA缺乏症，即开始给予患者静脉注射免疫球蛋白（400mg/kg/天）。
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