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題名 | 紫質沉著性神經病變(Porphyric Neuropathy)=Porphyric Neuropathy--Case Report |
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作者 | 張蘊綺; 羅瑞寬; 孟乃欣; 周碩彬; 高木榮; Chang, Yun-chi; Lo, Sui-foon; Meng, Nai-hsin; Jou, Shuo-bin; Kao, Mu-jun; |
期刊 | 中國醫藥科學雜誌 |
出版日期 | 20001200 |
卷期 | 1:4 2000.12[民89.12] |
頁次 | 頁293-297 |
分類號 | 415.593 |
語文 | chi |
關鍵詞 | 紫質沉著性神經病變; 格萊恩•巴雷症候群; Porphyric neuropathy; Guillain-barre syndrome; |
中文摘要 | 紫質沉著症(Porphyrias)為少見之代謝病變,臨床上常導致嚴重之神經 併發症,未緊急處理有死亡之危險。本文報告一位25歲女性,先因腹痛住院, 後又因腹痛合併血尿、四肢無力、呼吸衰竭,經神經傳導檢查以為是多發性神經 病變,疑為格萊恩.巴雷症候群。於一年後類似症狀又復發,因併發腹部疼痛再 對暗紅色血尿做進一步追蹤,診斷為紫質沉著性神經病變(Porphyric Neuropathy),共歷經一年多後才確診。本篇就此患者延遲診斷紫質沉著症之原因 做一探討,並作為臨床上鑑別診斷及治療之參考。 |
英文摘要 | Porphyric neuropathy is an uncommon manifestation of acute porphyrias. Acute attacks of porphyria may result in severe neurological complications, including life threatening respiratory failure. We present a 25-year-old woman who had history of abdominal pain with superficial gastritis noted during panendoscopy. One month after pain was noted, she had acute onset of weakness in her four limbs and respiratory failure. Nerve conduction velocities and electromyography studies results suggested polyneuropathy. Guillian-Barre syndrome was diagnosed. One year after diagnosis, the symptoms of general weakness and respiratory failure returned. Dark urine was noted and urine examination results revealed elevated levels of porphobilinogen leading to the diagnosis of porphyric neuropathy. We presented this case to point out the importance differential diagnosis and early management for patients with peripheral neuropathy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。