Neuro-Behçet’s Disease: a Practical Approach to Diagnosis and Treatment
نویسندگان
چکیده
منابع مشابه
Neuro-Behçets in a Child
We describe a case of neuro-Behçet disease diagnosed in a 12-year-old girl. This patient presented with recurrent oral ulcers, incontinence, spastic gait, blurry vision, and asymmetrical lower extremity hypertonia. Extensive testing revealed punctate lesions through the central nervous system, vitritis, papillitis, and uveitis. A thorough infectious and neoplastic workup was negative. She was t...
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1.診断 (1)Basedow 病を疑う Basedow 病診断の第 1 歩はもちろん疑うことであ る.疑うきっかけは,体重減少,疲れやすい,動悸, 手指振戦,微熱,頻脈,低コレステロール血症など何 らかの代謝亢進を思わせる症状である.眼球突出は特 徴的な症状であるが,眼症状が軽いケースに気づくに はかなり経験が必要である.びまん性甲状腺腫もわか りにくいケースも多い. (2)診断のための検査 1)TSH と甲状腺ホルモン:甲状腺機能亢進症(甲状 腺中毒症)の診断は血液検査だけでよい.スクリーニ ングとして測定するのは TSH と遊離 T4 の 2 つでよ い.この 2 つが正常であれば甲状腺疾患は現在の症状 には関係していないと言い切れる.甲状腺疾患による 甲状腺機能亢進症であれば TSH は 0.01 μU ml 以下 に抑制され,遊離 T4 が上昇している.遊離 T4 が上昇 ...
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ژورنال
عنوان ژورنال: Practical Neurology
سال: 2002
ISSN: 1474-7758,1474-7766
DOI: 10.1046/j.1474-7766.2002.00105.x