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題 名 | 甲狀腺低下症肌肉病變:一病例報告=Hypothyroid Myopathy: A Case Report |
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作 者 | 蔡文彬; 劉烈邦; 朱俊哲; 黃錦章; 邱世欽; 羅淑芬; | 書刊名 | 微免與感染雜誌 |
卷 期 | 32:2 1999.06[民88.06] |
頁 次 | 頁133-136 |
分類號 | 415.826 |
關鍵詞 | 甲狀腺低下症; 橋本氏甲狀腺炎; 肌氨酸致磷酸化酵素; 肌肉病變; Hypothyroidism; Hashimoto's thyroiditis; Creatine phosphokinase; Myopathy; |
語 文 | 中文(Chinese) |
中文摘要 | 肢體近端肌無力是多發性肌炎的特點。然而其他原因也可造成類似的肌無力,例 如藥物、內分泌疾病或感染等。我們報告一位 30 歲女性,因兩上臂及大腿肌無力,最初臆 斷為多發性肌炎的病例。血清檢查發現肌氨酸致磷酸化酵素明顯增高。病史詢問有便秘、聲 音沙啞和怕冷等症狀。甲狀腺檢查顯示功能相當低下,肌肉切片無明顯發炎,且病人經投予 甲狀腺素治療後,肌無力復原,符合甲狀腺低下症肌肉症變。至目前為止,此類肌肉病變併 有電子顯微鏡下顯示肌肉粒線體異常者,尚未見於臺灣的醫學文獻。甲狀腺低正症肌肉病變 雖然少見,但治療效果相當顯著。所以我們建議若遇肢體近端肌無力的病例時,應考慮甲狀 腺低下症肌肉病變之可能。 |
英文摘要 | Though proximal muscle weakness is characteristic of polymyositis, other agent may also lead to proximal muscle weakness, such as drugs, endocrine disease, or infections. Here, we rpeort a thirty year-old female suffering from proximal weakness which initially was thought to be a case of polymyositis with high serum creatine phosphokinase level. Very low thyroid hormone levels were found as the history inquiry revealed consitipation, hoarseness and cold intolerance. The muscle biopsy showed no obvious inflammation. After thyroxine therapy, her muscle weakness recovered. Up to now, hypothyroid myopathy with muscle mitochondrial abnormalities shown by electron microscopic examination has not been reported in the medical literature in Taiwan. Hypothyroid myopathy, though it is rare, may be misdiagnosed as polymyositis clinically. Therefore, it is recommended that hypothyroid myopathy should be considered in the differential diagnosis of proximal muscle weakness. |
本系統中英文摘要資訊取自各篇刊載內容。