摘要
报告一例MuSK-Ab阳性重症肌无力(myasthenia gravis,MG)病例,总结诊治经验,探讨其临床特点和误治经过。患者以呼吸困难为主要临床表现,多次误诊为“支气管哮喘”。转入神经内科后确诊为重症肌无力(MGFA分型V型),治疗后症状明显改善。临床上如出现不明原因呼吸困难患者,务必要警惕是否有神经-肌肉接头疾病的可能,避免失治误治。
One case of MuSK-Ab positive myasthenia gravis was reported,the experience of diagnosis and treatment was summarized,and its clinical characteristics and mistreatment process were discussed.The patient had dyspnea as the main clinical manifestation and was repeatedly misdiagnosed as"bronchial asthma"by the Respiratory Department.The patient was then diagnosed as myasthenia gravis(MGFA type V)after being transferred to the Department of Neurology,and the symptoms were significantly improved after treatment.Clinically,for patients with unexplained dyspnea,we must be alert to the possibility of neuromuscular junction disease to avoid mistreatment.
作者
王强
招远祺
许浩游
WANG Qiang;ZHAO Yuan-qi;XU Hao-you(Guizhou University of Traditional Chinese Medicine,Guiyang 550002,Guizhou,CHINA;Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510030,Guangdong,CHINA)
出处
《海南医学》
CAS
2023年第15期2245-2247,共3页
Hainan Medical Journal
基金
国家自然科学基金(编号:81960856)
贵州省中医药管理局项目(编号:QZYY-2021-126)。
