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甲状腺机能亢进症(下称甲亢)患者多有程度不等的不同类型的肌病表现,临床上常见甲亢性肌病有五型。一、慢性甲亢性肌病本病是较常见的一种甲亢性肌病,多见于中年男性。病情发展缓慢,表现为渐进性肌肉无力、肌肉萎缩,多限于躯干和四肢肌肉,呈对称分布;一般先累及近端肌群,常感梳头、蹲位起立时困难。很少侵犯颜面、舌及咽部肌肉。肌力减低为持续性,休息后肌无力不恢复,对抗胆碱酯酶药无效,可与重症肌无力鉴别。肌症状多数较甲亢其他症状出现早,因此不易早期诊断。
Hyperthyroidism (hereinafter referred to as hyperthyroidism) patients have varying degrees of different types of myopathic manifestations, clinically common hyperthyroidism myopathy have five. First, chronic hyperthyroidism myopathy This disease is a more common form of hyperthyroidism myopathy, more common in middle-aged men. Slow progression of the disease, manifested as progressive muscle weakness, muscle atrophy, mostly limited to the trunk and limb muscles, showed symmetrical distribution; generally first involving the proximal muscle groups, often combing hair, squatting upright difficulties. Few violations of facial, tongue and pharyngeal muscles. Decreased muscle strength for the continuity, muscle weakness after rest does not recover, antagonistic cholinesterase drugs ineffective, with myasthenia gravis discrimination. Muscular symptoms than other symptoms of hyperthyroidism appear early, so not easy to diagnose early.