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肌痛和肌肉挛缩作为艾迪生病的首发症状。

Myalgias and muscle contractures as the presenting signs of Addison's disease.

作者信息

Shapiro M S, Trebich C, Shilo L, Shenkman L

机构信息

Department of Medicine C, Meir Hospital, Sapir Medicial Center, Kfar Sava, Israel.

出版信息

Postgrad Med J. 1988 Mar;64(749):222-3. doi: 10.1136/pgmj.64.749.222.

Abstract

Severe generalized myalgias and muscle contractures of the lower extremities were the major initial manifestations of adrenal insufficiency in a 26 year old black male. The intensity of increased skin pigmentation was not fully appreciated until the patient's skin colour was compared to that of his brother. Replacement with physiological doses of gluco- and mineralocorticoids was associated with complete amelioration of symptomatology.

摘要

一名26岁黑人男性肾上腺功能不全的主要初始表现为严重的全身性肌痛和下肢肌肉挛缩。直到将患者的肤色与他兄弟的肤色进行比较,才充分认识到皮肤色素沉着增加的程度。给予生理剂量的糖皮质激素和盐皮质激素替代治疗后,症状完全缓解。

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本文引用的文献

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Symptomatology resulting from withdrawal of steroid hormone therapy.类固醇激素治疗停药引起的症状学
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Flexion contractures in Addison's disease.
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5
Hypopituitarism and flexor muscle spasm.垂体功能减退与屈肌痉挛。
Acta Endocrinol (Copenh). 1966 Nov;53(3):489-98. doi: 10.1530/acta.0.0530489.
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Flexion contracture in adrenal insufficiency.
Arch Phys Med Rehabil. 1968 Jul;49(7):13-6.
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Musculoskeletal manifestations of Addison's disease.艾迪生病的肌肉骨骼表现。
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