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題名 | Mononeuritis Multiplex in a Patient with Adult-Onset Dermatomyositis=成人發生型皮肌炎併發多發性單神經炎 |
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作者 | 龔彥穎; 蔡長祐; 蔡瀛陽; 黃德豐; 蔡世滋; 余家利; | 書刊名 | 中華民國風濕病雜誌 |
卷期 | 14:1/2 民86.05 |
頁次 | 頁9-17 |
分類號 | 415.762、415.762 |
關鍵詞 | 多發性單神經炎; 成人發生型皮肌炎; 共同腓神經; 尺神經; Adult-onset dermatomyositis; Mononeuritis multiplex; Common peroneal nerve; Ulnar nerve; |
語文 | 英文(English) |
中文摘要 | 一位39歲的男性罹患皮肌炎已有五年,在最近一年感到左腳的大拇指逐漸麻木及無力上舉。七個月後連續右手第三到第五小指發生下垂。肌電圖及神經傳導檢查顯示是多發性單神經炎所致。除此之外,此病人亦併發肺結核,但並沒有惡性腫瘤,皮膚或全身性血管炎的併發症。在臨床上,成人發生皮板肌炎產生多發性單神經炎是罕見的併發症。 |
英文摘要 | A 39-year-old man suffered from dermatomyositis for 5 years. He experienced progressive weakness and difficulty in dorsiflexion of the left big toe in recent one year. Successive drop of third to fifth fingers of the right hand ensued 7 months later. Electromyography and nerve conduction velocity tests revealed that the affliction is compatible with mononeuritis multiplex. In addition, pulmonary tuberculosis was complicated in this patient. But no evidence of malignancy, cutaneous or systemic vasculitis was noted. Clinically, mononeuritis multiplex is a rare complication in patients with adult-onset dermatomyositis. |
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