Pissarra F, Carvalho M, Morais C, Fortuna J, Gonçalves J G, João Neto M
Serviço de Medicina, Centro Hospitalar de Coimbra.
Acta Med Port. 1995 Sep;8(9):501-4.
Hyperthyroidism may present various muscular diseases, namely thyrotoxic chronic myopathy, myasthenia gravis, disthyroid ophthalmopathy and thyrotoxic periodic paralysis. Although infrequent, it is possible to find some of these clinical situations in a medical ward of a general hospital. Differential diagnosis must be made with chronic idiopathic polymyositis and certain congenital myopathies. We describe three patients with hyperthyroidism; one of these patients had chronic thyrotoxic myopathy and another had myasthenia gravis. The third had a thymolipoma and ocular changes probably corresponding to myasthenia gravis.
甲状腺功能亢进可能会出现各种肌肉疾病,即甲状腺毒症性慢性肌病、重症肌无力、甲状腺眼病和甲状腺毒症性周期性麻痹。虽然不常见,但在综合医院的内科病房仍有可能发现其中一些临床情况。必须与慢性特发性多发性肌炎和某些先天性肌病进行鉴别诊断。我们描述了3例甲状腺功能亢进患者;其中1例患有慢性甲状腺毒症性肌病,另1例患有重症肌无力。第3例患有胸腺脂肪瘤及可能与重症肌无力相符的眼部改变。