摘要
目的通过分析误诊病例,提高临床医师对内分泌性肌病的诊治水平。方法分析总结2011—2013年我院收治的4例误诊为多发性肌炎的内分泌性肌病患者的临床特点,并结合相关文献进行复习。结果 4例误诊病例中2例诊断为原发性甲状腺功能减退症,1例诊断为甲状腺功能亢进症,1例诊断为高醛固酮血症。依据一般资料和相关检查明确诊断后给予对症治疗,4例患者均明显好转。结论内分泌性肌病是多发性肌炎常见的误诊疾病之一,临床医师需加强鉴别诊断,避免误诊。
Objective To improve diagnoses and treatments of endocrine myopathy by analyzing misdiagnosed cases. Methods The features of 4 patients with endocrine myopathy misdiagnosed as multiple myositis were analyzed and relevant litera- tures reviewed. Results Two of the misdiagnosed patients were diagnosed as primary hypothyroidism, 1 as hyperthyroidism, 1 as hyperaldosteronism. The 4 patients all improved after clarifying diagnosis and symptomatic treatments. Conclusion Endo- crine myopathy is one of the most common diseases misdiagnosed as polymyositis. Clinicians should strengthen its differential di- agnoses to avoid misdiagnoses.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第26期3110-3112,共3页
Chinese General Practice
