| 糖尿病炎性脱髓鞘性周围神经病--附5例报告 |
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| 引用本文： | 杨琴,杨军,李光勤.糖尿病炎性脱髓鞘性周围神经病--附5例报告[J].重庆医科大学学报,2005,30(2):315-317. |
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| 作者姓名： | 杨琴 杨军 李光勤 |
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| 作者单位： | 重庆医科大学临床学院神经内科,重庆,400016 |
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| 摘 要： | 目的:讨论糖尿病炎性脱髓鞘性周围神经病(DM-CIDP)的临床表现及诊断.方法:对5例DM-CIDP进行临床及辅助检查资料分析.结果:DM-CIDP好发于50岁以上糖尿病患者,表现为慢性或复发性对称性远、近端肢体无力和/或感觉障碍,伴有腱反射消失.其临床表现及电生理特点不易与特发性慢性炎性脱髓鞘性多发性神经病(I-CIDP)鉴别,对IVIgG、血浆置换及糖皮质激素治疗有效.结论:糖尿病炎性脱髓鞘周围神经病是糖尿病周围神经病中的一型.
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| 关 键 词： | 糖尿病 CIDP IVIgG 血浆置换 糖皮质激素 |
| 文章编号： | 0253-3626(2005)02-0315-03 |
| 修稿时间： | 2004年7月8日 |
Diabetic demyelinating neuropathy:a report of five cases |
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| YANG Qin,et al.Diabetic demyelinating neuropathy:a report of five cases[J].Journal of Chongqing Medical University,2005,30(2):315-317. |
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| Authors: | YANG Qin |
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| Abstract: | Objective:To report the clinical characteristics and diagnoses of diabetic demyelinating neuropathy.Methods:Five cases were systematically studied based on the clinical observations and data from aided examination.Results:All the five patients with diabetes mellitus were more than 50 years old.The clinical manifestations included predominantly motor symmetric weakness,proximal and distal,associated with areflexia and a relapsing or a chronic progressive course.The five cases were indistinguishable from idiopathic chronic inflammatory demyelinating polyneuropathy(I-CIDP) in clinical picture and electrophysiology.They responded to glucocorticosteroid treatment,plasma exchange and intravenous immunoglobulin.Conclusion:Diabetic demyelinating polyneuropathy is one of several types of diabetic peripheral neuropathies. |
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| Keywords: | Diabetes mellitus Chronic inflammatory demyelinating polyneuropathy Intravenous immunoglobulin Plasma exchange Glucocorticosteroid |
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