急性间歇性卟啉病致周围神经损害误诊为吉兰巴雷综合征1例临床分析

发布时间：2018-05-05 18:27

本文选题：吉兰巴雷综合征 + 周围神经损害　；参考：《中风与神经疾病杂志》2017年02期

【摘要】：正急性间歇性卟啉病(AIP),又称肝性卟啉病,是一种常染色体显性遗传病,多为成年女性发病,也有儿童发病的报道~([1]),临床主要表现为皮肤损害、急性腹痛、神经精神受损三大症状。神经系统方面可以累及自主神经、周围神经和中枢神经系统,周围神经损害可发生轴突退行性变,主要累及运动神经,表现为四肢无力。因表现类似吉兰巴雷综合征,如果对卟啉病认识不足,临床上比较容易误诊,延误治疗,现将我科收治的1例急性间歇性卟啉病报道如下。
[Abstract]:Acute intermittent porphyria (AIP), also known as hepatic porphyria, is a kind of autosomal dominant hereditary disease, most of which are adult female, and also have children's incidence of ~ ([1]). The clinical manifestations are three major symptoms: skin damage, acute abdominal pain, and neuropsychic damage. The autonomic, peripheral and central nervous system can be involved in the system of the God. The system, the peripheral nerve damage can occur axonal degeneration, mainly involving the motor nerve, showing the weakness of the extremities. Because of the performance similar to Gillain Barre syndrome, if the understanding of porphyria is insufficient, it is easier to misdiagnose and delay the treatment. 1 cases of acute intermittent porphyria reported in our department are reported as follows.

【作者单位】：衡水市哈励逊国际和平医院神经内一科;
【分类号】：R589.8;R745

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