Molloy M G, Goodwill C J
Rheumatol Rehabil. 1979 Aug;18(3):170-3. doi: 10.1093/rheumatology/18.3.170.
Fifteen cases of herpes zoster with lower motor neurone paresis involving the upper and lower limbs are reviewed. Five patients had an underlying disease--three had rheumatoid arthritis, two of whom were on prednisolone; one had chronic lymphatic leukaemia and one lymphosarcoma. Details are given of the time relationship between onset of pain, the appearance of the skin eruption and the later muscle weakness. Electromyographic evidence was available in 12 patients. The difficulty of assessing the muscle power in the presence of severe pain is discussed. Prognosis was generally very good; 11 patients recovered fully, three improved and one was unchanged after 5 months, when he died of lymphosarcoma. One patient was lost to follow-up at 5 months but was improving at the time.
回顾了15例伴有上下肢下运动神经元麻痹的带状疱疹病例。5例患者有基础疾病——3例患类风湿性关节炎，其中2例正在服用泼尼松龙；1例患慢性淋巴细胞白血病，1例患淋巴肉瘤。文中给出了疼痛发作、皮疹出现与后期肌肉无力之间的时间关系细节。12例患者有肌电图证据。讨论了在存在严重疼痛的情况下评估肌肉力量的困难。总体预后通常非常好；11例患者完全康复，3例有所改善，1例在5个月后病情无变化，当时死于淋巴肉瘤。1例患者在5个月时失访，但当时病情正在改善。
