Krol T C
Arch Neurol. 1979 Sep;36(9):594-5. doi: 10.1001/archneur.1979.00500450088022.
A 68-year-old woman with clinical, electromyographic, and pharmacologic evidence of myasthenia gravis experienced increasing proximal and bulbar muscular weakness. The diagnosis of pernicious anemia was established by typical abnormalities in the peripheral blood and bone marrow aspirate, the serum B12 level, by results of the Schilling test, and by the presence of serum parietal cell antibody. The diagnosis of Hashimoto's thyroiditis was established by the presence of diffuse thyroid enlargement, microsomal thyroid antibodies, an increased thyroid stimulating hormone level, and depressed T2 and T4 levels.
一名68岁女性，有重症肌无力的临床、肌电图及药理学证据，近端和延髓肌肉无力症状不断加重。通过外周血和骨髓穿刺的典型异常、血清维生素B12水平、希林试验结果以及血清壁细胞抗体的存在确诊为恶性贫血。通过弥漫性甲状腺肿大、甲状腺微粒体抗体、促甲状腺激素水平升高以及T2和T4水平降低确诊为桥本甲状腺炎。
