de Bray J M, Emile J, Basle M, Morer T, Bastard J
Rev Neurol (Paris). 1979;135(11):827-33.
Two cases of Morvan's chorea are reported. One of the patients presented the characteristic of having had two attacks, the first after organic mercury preparations, and the second after gold salts for inflammatory rheumatism. The second case had facial fibrillations only, and this was followed by a regressive polyradiculoneuritis one month later. This latter case raises certain diagnostic problems. The existence of a particular type of immuno-allergic tendency could be validly related to a triggering effect of various etiological agents (metals such as mercury or gold salts, or infective agents). The absence of hypotonia, and a regressive course appear to be the characteristics that distinguish fibrillary chorea from the continuous activity syndrome of the muscle fibers described by Isaacs.
报告了两例莫旺氏舞蹈病。其中一名患者有两次发作的特征,第一次发作在使用有机汞制剂之后,第二次发作在使用金盐治疗炎性风湿之后。第二例仅出现面部肌纤维颤搐,一个月后发展为进行性多神经根神经炎。后一例引发了某些诊断问题。存在一种特殊类型的免疫过敏倾向可能与多种病因(如汞或金盐等金属,或感染因子)的触发作用有效相关。肌张力减低的缺失以及病情呈进行性发展似乎是将纤维性舞蹈病与艾萨克斯所描述的肌肉纤维持续性活动综合征区分开来的特征。