Ishizuka Kosuke, Ohira Yoshiyuki
Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki-city, Japan.
Eur J Case Rep Intern Med. 2022 Jul 6;9(7):003398. doi: 10.12890/2022_003398. eCollection 2022.
A 23-year-old Japanese woman presented with a 1-month history of dyspnoea and chest discomfort. Since the symptoms improved with dynamic and sensory stimulation and also caused insomnia, we considered a variant of restless legs syndrome (RLS) called 'restless chest syndrome', although there were no symptoms in the extremities. We initiated oral administration of pramipexole 0.25 mg daily, and her symptoms, including dyspnoea, chest discomfort and insomnia, improved within 1 week. RLS should be considered in the differential diagnosis in patients who present with abnormal sensations that worsen at night, with insomnia, regardless of the site of the symptoms.
In restless legs syndrome, rare localised sensations in the chest, back, abdomen, face, arm and perineum rather than the lower extremities, have been reported.Dynamic stimuli, intellectual activity and sensory stimuli have been reported to temporarily ease restless legs syndrome symptoms.Restless legs syndrome should be considered in patients who present with abnormal sensations that worsen at night, with insomnia, regardless of the site of the symptoms.
一名23岁日本女性出现了1个月的呼吸困难和胸部不适症状。由于症状在动态和感觉刺激下有所改善，且还导致失眠，尽管四肢没有症状，但我们考虑这是不宁腿综合征（RLS）的一种变体，称为“不宁胸综合征”。我们开始每日口服0.25毫克普拉克索，1周内她的症状，包括呼吸困难、胸部不适和失眠都有所改善。对于出现夜间加重的异常感觉并伴有失眠的患者，无论症状出现在何处，鉴别诊断时都应考虑RLS。
在不宁腿综合征中，已有报道称胸部、背部、腹部、面部、手臂和会阴等部位而非下肢会出现罕见的局部感觉。据报道，动态刺激、智力活动和感觉刺激可暂时缓解不宁腿综合征症状。对于出现夜间加重的异常感觉并伴有失眠的患者，无论症状出现在何处，鉴别诊断时都应考虑RLS。
