伪装成多发性肌炎的甲状腺功能减退症。
Hypothyroidism masquerading as polymyositis.
作者信息
Cabili S, Pines A, Kaplinsky N, Frankl O
出版信息
Postgrad Med J. 1982 Sep;58(683):545-7. doi: 10.1136/pgmj.58.683.545.
Abstract
A group of patients is described who presented with proximal muscle weakness and elevated muscle enzymes. They were initially believed to have polymyositis and one of them was even treated as such over a long period of time. The patients were subsequently found to have hypothyroidism and responded well to thyroid hormone replacement. Hypothyroidism should always be considered in the differential diagnosis of polymyositis. A polymyositis-like picture has to be regarded as a symptom and not as a disease since it occurs in several metabolic, infectious, malignant and drug-induced diseases.
摘要
描述了一组出现近端肌无力和肌肉酶升高的患者。他们最初被认为患有多发性肌炎，其中一人甚至长期接受了相应治疗。这些患者随后被发现患有甲状腺功能减退症，甲状腺激素替代治疗后反应良好。在多发性肌炎的鉴别诊断中应始终考虑甲状腺功能减退症。类似多发性肌炎的表现必须被视为一种症状而非一种疾病，因为它发生在多种代谢性、感染性、恶性和药物性疾病中。
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