1例合并慢性吉兰-巴雷综合征的糖尿病周围神经病变病例  

One case of diabetic peripheral neuropathy complicated with chronic Guillain-Barre syndrome

作　　者：梁鎏明 王颜刚[1] 刘丽君[2] 李成乾[1] 于清[1] 邓玉杰 王青[1] 赵宇航[1] 王萍[1] Liang Liuming;Wang Yangang;Liu Lijun;Li Chengqian;Yu Qing;Deng Yujie;Wang Qing;Zhao Yuhang;Wang Ping(Department of Endocrinology,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Neurology,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Rehabilitation Medicine,Qingdao Central Hospital,Qingdao 266042,China)

机构地区：[1]青岛大学附属医院内分泌科,青岛266003 [2]青岛大学附属医院神经内科,青岛266003 [3]青岛市中心医院康复医学科,青岛266042

出　　处：《中华内分泌代谢杂志》2024年第3期248-251,共4页Chinese Journal of Endocrinology and Metabolism

基　　金：山东省老年医学学会2021年度科技发展计划项目(LKJGG2021W081)。

摘　　要：慢性吉兰-巴雷综合征,又称为慢性炎性脱髓鞘性多发性神经根神经病(chronic inflammatory demyelinating polyradiculoneuropathy,CIDP),是一类由免疫介导的脱髓鞘性周围神经病。本研究分析1例以四肢麻木、疼痛伴无力为主要症状的CIDP患者的临床资料,结合文献回顾,从发病机制、临床表现、实验室检查及治疗方面探讨CIDP和糖尿病周围神经病变的鉴别。Chronic Guillain-Barre syndrome,also known as chronic inflammatory demyelinating polyradiculoneuropathy(CIDP),is an immune-mediated demyelinating peripheral neuropathy.This article analyzes the clinical data of a CIDP patient presenting primarily with limb numbness,pain,and weakness.Along with literature review,this study explores the differential diagnosis between CIDP and diabetic peripheral neuropathy in terms of the pathogenesis,clinical manifestations,laboratory tests,and treatment.

关 键 词：吉兰-巴雷综合征 炎性脱髓鞘性多发性神经根神经病 糖尿病周围神经病变 

分 类 号：R745.43[医药卫生—神经病学与精神病学] R587.2[医药卫生—临床医学] R747.9