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近来认为,色氨酸摄入与嗜酸粒细胞增多-肌痛综合征(EMS)有关。作者共报告13例病人,其中女性12例,男性1例,发病年龄33~77岁。7例最初即诊断为嗜酸性筋膜炎,其余6例在服高色氨酸饮食后先引起EMS,后因出现嗜酸性筋膜炎典型的皮肤硬化而就诊。但这13例病人均符合EMS的诊断标准,所有患者在发病前均有服用大量色氨酸史,剂量200~4002mg/d不等,总量为94~8034g;服用时间为9周~11年;从开始服色氨酸到出现症状的时间为3周到8~9年。所有病例均有皮肤绷紧和嗜酸粒细胞增多(0.13~0.88)。10例肯定有肌痛,
Recently, tryptophan intake and eosinophilia - myalgia syndrome (EMS) related. The authors reported a total of 13 patients, including 12 females and 1 males, the age of onset was 33 to 77 years. Of the 7 patients initially diagnosed as eosinophilic fasciitis, the remaining 6 patients first developed EMS after taking the high-tryptophan diet and then presented with typical skin sclerosis due to eosinophilic fasciitis. However, these 13 patients were all in line with the diagnostic criteria of EMS, all patients before taking the disease have taken a large number of tryptophan, a dose of 200 ~ 4002mg / d, the total amount of 94 ~ 8034g; taking 9 weeks to 11 years ; From the beginning of taking tryptophan to symptoms for 3 weeks to 8 to 9 years. All cases had skin tightening and eosinophilia (0.13 to 0.88). Ten cases must have myalgia,