Dawood Mustafa, McArthur Justin, Tauseef Abubakar
Internal Medicine resident, Greater Baltimore Medical Center, Baltimore, MD, USA.
Internal Medicine, Johns Hopkin University, Baltimore, MD, USA.
J Community Hosp Intern Med Perspect. 2019 Nov 1;9(5):437-439. doi: 10.1080/20009666.2019.1659665. eCollection 2019.
Brachial plexitis is defined as an inflammation of the brachial plexus. There are two entities of the disease: idiopathic, which is generally considered to be immune-mediated, and genetic. The disease manifests as the acute onset shoulder pain, weakness of the involving arm ± sensory loss. Brachial plexitis is also known as Parsonage-Turner syndrome and hereditary neuralgic amyotrophy. Diagnosis is made with the help of history, physical exam, and imaging. Conservative management is the mainstay of treatment. There has not been any proven treatment for the condition though some cases have been treated empirically with steroids. We present a case of 61-year-old woman with sickle cell anemia who presented with right upper extremity weakness and MRI findings of brachial plexitis.
臂丛神经炎被定义为臂丛神经的炎症。该疾病有两种类型:特发性的,通常被认为是免疫介导的;以及遗传性的。该病表现为急性发作的肩部疼痛、受累手臂无力并伴有或不伴有感觉丧失。臂丛神经炎也被称为帕森热-特纳综合征和遗传性神经痛性肌萎缩。诊断借助病史、体格检查和影像学检查来进行。保守治疗是主要的治疗方法。尽管有些病例已根据经验用类固醇进行了治疗,但尚未有任何已证实有效的针对该病症的治疗方法。我们报告一例61岁患有镰状细胞贫血的女性病例,该患者出现右上肢无力,且MRI检查结果显示为臂丛神经炎。