内分泌性肌病误诊为多发性肌炎的诊治分析并相关文献复习  

Endocrine Myopathy Misdiagnosed as Multiple Myositis: Analysis of Diagnoses and Treatments and Review of Relevant Literatures

作　　者：张娟[1] 王晓元[1] 刘媛媛[1] 张莉[1] 

机构地区：[1]兰州大学第二医院风湿免疫科,甘肃省兰州市730030

出　　处：《中国全科医学》2013年第26期3110-3112,共3页Chinese General Practice

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.

关 键 词：内分泌系统疾病 肌疾病 多发性肌炎 

分 类 号：R581[医药卫生—内分泌]