疑似帕金森综合征的甲亢性肌病一例

Abstract

本例为一位75岁的老年男性患者因类似帕金森综合征的表现而就诊，但经过详细的病史询问、体格检查及进一步的甲状腺功能及相关抗体检测，最终诊断为慢性甲亢性肌病，予他巴唑治疗后病情明显好转。本例患者病史较长，多处就诊，临床表现类似帕金森综合征，按帕金森治疗后疗效欠佳，但仔细查体后可发现甲亢表现，这类患者常常就诊于神经内科，临床上容易误诊，故对于此类患者需仔细询问病史及查体，排查有无其他全身疾病所致的肌病可能。 A 75-year-old man went to hospital presenting as parkinsonian syndrome. After detailed history inquiry, physical examination, advanced test of thyroid function and associated antibodies, the final diagnosis is chronic thyrotoxic myopathy. The symptoms of the patient improved significantly after treating with methimazole. This patient had a long history and accepted treatments in many hospitals. He presented as parkinsonian syndrome, but after treatment as parkinson’s disease, his symptoms didn’t improve. After carefully physical examination, we detected signs of hyperthyroidism. This case suggested that myopathy caused by systemic diseases should be remembered in the differential diagnosis of patients presenting as parkinsonian syndrome.