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吉兰-巴雷综合征中的模仿者和变色龙

Mimics and Chameleons in Guillain-Barré Syndrome.

作者信息

Kumar Praveen, Omair Md Faraz

机构信息

Institute of Child Health, Sir Ganga Ram Hospital, New Delhi, IND.

Division of Pediatric Neurology, Institute of Child Health, Sir Ganga Ram Hospital, New Delhi, IND.

出版信息

Cureus. 2021 Sep 27;13(9):e18325. doi: 10.7759/cureus.18325. eCollection 2021 Sep.

Abstract

Guillain-Barré syndrome (GBS) is an immune-mediated disease of the peripheral nervous system that is triggered by both infectious processes and post-immunization conditions. It is, therefore, more prevalent during infectious outbreaks. While the classical clinical presentation of ascending paralysis is easy to recognize, GBS is a heterogeneous entity comprising several variants, atypical presentations, and incomplete forms that may make the diagnosis challenging. Early recognition is key because the disease could be rapidly fatal. Monitoring for progression of illness, fluctuations in vital signs, and prompt initiation of intravenous immunoglobulin are the mainstays of treatment.

摘要

吉兰-巴雷综合征(GBS)是一种由感染过程和免疫接种后状况引发的外周神经系统免疫介导性疾病。因此,它在传染病暴发期间更为常见。虽然上行性麻痹的典型临床表现易于识别,但GBS是一个异质性疾病实体,包括多种变体、非典型表现和不完全形式,这可能使诊断具有挑战性。早期识别是关键,因为该疾病可能迅速致命。监测病情进展、生命体征波动以及及时开始静脉注射免疫球蛋白是主要的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a0/8549577/6e87bccf0627/cureus-0013-00000018325-i01.jpg

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