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抗精神病药物和甲基苯丙胺引发的非酮症高血糖性偏侧舞蹈症-偏侧投掷症

Non-Ketotic Hyperglycemic Hemichorea-Hemiballismus in the Setting of Antipsychotics and Methamphetamine.

作者信息

Nelson Colbert C, Ohnoutka Cole, Ulen Michael

机构信息

Family and Community Medicine, University of Missouri, Columbia, USA.

出版信息

Cureus. 2021 Oct 28;13(10):e19094. doi: 10.7759/cureus.19094. eCollection 2021 Oct.

DOI:10.7759/cureus.19094
PMID:34858747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8614164/
Abstract

The management of common chronic conditions presenting in uncommon ways is an important facet of medical education and patient care. We report a 54-year-old patient who developed left arm dystonia precipitated by several potential factors. These include laboratory findings notable for significant hyperglycemia, methamphetamine positive on urine drug testing and patient history consistent with bipolar II managed with Lurasidone, a second-generation antipsychotic medication. The potential etiology of this uncommon presentation is discussed below.

摘要

以不寻常方式出现的常见慢性病管理是医学教育和患者护理的一个重要方面。我们报告了一名54岁患者，其左臂肌张力障碍由多种潜在因素诱发。这些因素包括显著高血糖的实验室检查结果、尿液药物检测显示甲基苯丙胺呈阳性以及患者病史与使用第二代抗精神病药物鲁拉西酮治疗的双相II型障碍相符。以下将讨论这种不寻常表现的潜在病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9842/8614164/0b1be2b5dd4d/cureus-0013-00000019094-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9842/8614164/42f9b8055e48/cureus-0013-00000019094-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9842/8614164/b92cafd9b039/cureus-0013-00000019094-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9842/8614164/0b1be2b5dd4d/cureus-0013-00000019094-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9842/8614164/42f9b8055e48/cureus-0013-00000019094-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9842/8614164/b92cafd9b039/cureus-0013-00000019094-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9842/8614164/0b1be2b5dd4d/cureus-0013-00000019094-i03.jpg

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本文引用的文献

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Amphetamine-induced hemichorea.苯丙胺所致偏侧舞蹈症。
Neurol Sci. 2021 Jun;42(6):2587-2588. doi: 10.1007/s10072-021-05073-w. Epub 2021 Jan 26.
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Diabetes and neurology: hemichorea-hemiballism in hyperglycaemia.糖尿病与神经学：高血糖症中的偏侧舞蹈症-偏侧投掷症
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Irreversible Hemichorea-Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus.以不可逆性偏侧舞蹈症-偏侧投掷症为首发表现的非酮症高血糖症一例，该症状为糖尿病的初始表现 。
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Diagnosis and treatment of chorea syndromes.舞蹈症综合征的诊断与治疗
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Drug Alcohol Depend. 2014 Oct 1;143:11-21. doi: 10.1016/j.drugalcdep.2014.08.003. Epub 2014 Aug 17.
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Uncontrolled hyperglycaemia: a reversible cause of hemichorea-hemiballismus.未控制的高血糖症：偏侧舞蹈症-偏侧投掷症的一个可逆病因。
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Comparative efficacy and tolerability of 15 antipsychotic drugs in schizophrenia: a multiple-treatments meta-analysis.15 种抗精神分裂症药物的疗效和耐受性比较：一项多治疗荟萃分析。
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