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重症肌无力:一例患有系统性红斑狼疮的产后患者脱机失败的意外原因

Myasthenia Gravis: An Unanticipated Cause of Failure to Wean in a Postpartum Patient with Preexisting Systemic Lupus Erythematosus.

作者信息

Patki Abhiruchi Y, Durga Padmaja, Gangishetty Alekhya, Ketireddy Tejasri, Noorain Naqiya

机构信息

Department of Anaesthesiology and Intensive Care, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.

出版信息

Indian J Crit Care Med. 2022 Jun;26(6):731-732. doi: 10.5005/jp-journals-10071-24228.

DOI:10.5005/jp-journals-10071-24228
PMID:35836638
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9237154/
Abstract

UNLABELLED

Sudden onset and Myasthenia gravis (MG) in the presence of systemic lupus erythematosus (SLE) is a rare postpartum phenomenon and can easily misguide the treating physician. A known case of SLE, 4 days after an elective cesarean section, presented to the intensive care unit for weaning-off mechanical ventilation after being put on ventilatory support in the emergency room, following acute-onset partial seizures. She was subsequently diagnosed to have new-onset MG, treated for the condition and later successfully extubated.

HOW TO CITE THIS ARTICLE

Patki AY, Durga P, Gangishetty A, Ketireddy T, Noorain N. Myasthenia Gravis: An Unanticipated Cause of Failure to Wean in a Postpartum Patient with Preexisting Systemic Lupus Erythematosus. Indian J Crit Care Med 2022;26(6):731-732.

摘要

未标注

重症肌无力(MG)在系统性红斑狼疮(SLE)患者中突然发病是一种罕见的产后现象,很容易误导主治医生。有一例已知的SLE患者,在择期剖宫产术后4天,因在急诊室急性发作部分性癫痫后接受通气支持,随后被送入重症监护病房进行机械通气撤机。她随后被诊断为新发MG,接受了相应治疗,后来成功拔管。

如何引用本文

Patki AY, Durga P, Gangishetty A, Ketireddy T, Noorain N. 重症肌无力:既往有系统性红斑狼疮的产后患者脱机失败的意外原因。《印度重症监护医学杂志》2022年;26(6):731 - 732。

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本文引用的文献

1
Association Between Systemic Lupus Erythematosus and Myasthenia Gravis: Coincidence or Sequelae?系统性红斑狼疮与重症肌无力之间的关联:巧合还是后遗症?
Cureus. 2020 Jun 3;12(6):e8422. doi: 10.7759/cureus.8422.
2
Systemic Lupus Erythematosus and Myasthenia Gravis: A Rare Association.系统性红斑狼疮与重症肌无力:一种罕见的关联。
Indian J Nephrol. 2019 Jan-Feb;29(1):62-64. doi: 10.4103/ijn.IJN_12_18.
3
Posterior Reversible Leukoencephalopathy Syndrome (PRES) in Intensive Care Unit - Case series.重症监护病房中的后部可逆性白质脑病综合征(PRES)——病例系列
Indian J Crit Care Med. 2017 Nov;21(11):772-778. doi: 10.4103/ijccm.IJCCM_235_17.
4
Increased risk for clinical onset of myasthenia gravis during the postpartum period.产后重症肌无力临床发病风险增加。
Neurology. 2016 Nov 15;87(20):2139-2145. doi: 10.1212/WNL.0000000000003339. Epub 2016 Oct 21.
5
The association of systemic lupus erythematosus and myasthenia gravis: a series of 17 cases, with a special focus on hydroxychloroquine use and a review of the literature.系统性红斑狼疮和重症肌无力的关联:17 例系列病例,特别关注羟氯喹的使用及文献复习。
J Neurol. 2012 Jul;259(7):1290-7. doi: 10.1007/s00415-011-6335-z. Epub 2011 Dec 8.
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Association between myasthaenia gravis and systemic lupus erythematosus: three case reports and review of the literature.重症肌无力与系统性红斑狼疮的相关性:三例病例报告并文献复习。
Scand J Rheumatol. 2011 Nov;40(6):486-90. doi: 10.3109/03009742.2011.575077. Epub 2011 Jul 4.
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Acute cardiogenic shock in a girl with systemic lupus erythematosus.一名患有系统性红斑狼疮的女孩发生急性心源性休克。
Indian J Crit Care Med. 2010 Oct;14(4):209-11. doi: 10.4103/0972-5229.76087.
8
Peripheral B cell abnormalities and disease activity in systemic lupus erythematosus.系统性红斑狼疮中的外周B细胞异常与疾病活动
Lupus. 2008 Dec;17(12):1064-9. doi: 10.1177/0961203308095138.
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[Systemic lupus erythematosus and weakness].[系统性红斑狼疮与肌无力]
Acta Reumatol Port. 2006 Apr-Jun;31(2):167-72.
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High prevalence of systemic lupus erythematosus in 78 myasthenia gravis patients: a clinical and serologic study.78例重症肌无力患者中系统性红斑狼疮的高患病率:一项临床和血清学研究
Am J Med Sci. 2006 Jan;331(1):4-9. doi: 10.1097/00000441-200601000-00004.