Poustka Katharina, Pollanz-Petrovic Sabine, Lindeck-Pozza Elisabeth, Finsterer Josef
Department of Neurology Kaiser Franz Josef Spital Vienna Austria.
Krankenanstalt Rudolfstiftung Messerli Institute Vienna Austria.
Clin Case Rep. 2020 Apr 23;8(7):1223-1225. doi: 10.1002/ccr3.2899. eCollection 2020 Jul.
A 61 year old man with facial diplegia, quadruparesis, tongue atrophy/fasciculations, bulbar speech, muscle weakness/wasting, hypotonia, tremor, dysdiadochokinesia, absent tendon reflexes, fasciculations, and gynecomastia, received immunoglobulins for suspected immune-neuropathy with limited benefit. After reconsideration, Kennedy disease was diagnosed upon 44 CAG repeats in . In conclusion, immunoglobulins exhibit limited benefit on immune-neuropathy in patients with coexisting KD.
一名61岁男性,患有面瘫、四肢瘫、舌肌萎缩/肌束震颤、延髓性言语、肌肉无力/萎缩、肌张力减退、震颤、轮替运动障碍、腱反射消失、肌束震颤和男性乳房发育,因疑似免疫性神经病接受免疫球蛋白治疗,但获益有限。经重新评估,基于雄激素受体基因中44个CAG重复序列诊断为肯尼迪病。总之,免疫球蛋白对合并肯尼迪病的患者的免疫性神经病疗效有限。