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以神经肌肉疾病为首发表现的继发性甲状旁腺功能亢进——病例报告

Neuromuscular Disorder as Initial Manifestation of Secondary Hyperparathyroidism - A Case Report.

作者信息

Hajjar Karim, Hagenacker Tim

机构信息

Department of Neurology, University Hospital Essen, Germany.

出版信息

Eur J Transl Myol. 2017 Mar 29;27(1):6100. doi: 10.4081/ejtm.2017.6100. eCollection 2017 Feb 24.

DOI:10.4081/ejtm.2017.6100
PMID:28458803
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5391528/
Abstract

This case report describes a young woman who presented with slowly progressing weakness of the proximal limb muscles and slight decrease of muscle tone but otherwise unremarkable neurological history. Diagnostic workup revealed fatty degeneration of the girdle muscles and an excessive increase of the parathyroid hormone as a result of severe vitamin D deficiency. Secondary hyperparathyroidism was diagnosed, and neurological deficits resolved after treatment of the underlying endocrinopathy.

摘要

本病例报告描述了一名年轻女性，她表现为近端肢体肌肉进行性无力和肌张力轻度降低，但神经系统病史无其他异常。诊断检查发现肩胛带肌肉脂肪变性，由于严重维生素D缺乏导致甲状旁腺激素过度升高。诊断为继发性甲状旁腺功能亢进，潜在内分泌病治疗后神经功能缺损得以缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f14e/5391528/095f6a9f69bf/ejtm-2017-1-6100-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f14e/5391528/7baa24431769/ejtm-2017-1-6100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f14e/5391528/095f6a9f69bf/ejtm-2017-1-6100-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f14e/5391528/7baa24431769/ejtm-2017-1-6100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f14e/5391528/095f6a9f69bf/ejtm-2017-1-6100-g002.jpg

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