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患者男,22岁。主因“背痛半年,加重伴下肢麻木无力半月”入院。否认外伤、手术史。体检:生命体征稳定,神清语利。全身皮肤、黏膜未见明显色素沉积及色素斑块。双眼无异常。胸6~7棘突压痛,无叩击痛,双侧胸4~7平面感觉减退,左侧为著。双下肢肌力正常。双侧髂腰肌、股四头肌、股二头肌肌力3级,双侧胫前肌肌力4级,双侧拇背伸肌肌力4
Male patient, 22 years old. Main “” back pain for six months, aggravated with weakness of lower extremity numbness "admission. Denied trauma, surgery history. Physical examination: vital signs stable, clear language proficiency. Whole body skin, mucosa no obvious pigmentation and pigmented plaque. No abnormalities in both eyes. Chest 6 ~ 7 spinous process tenderness, no percussion pain, bilateral chest 4 to 7 plane feeling diminished, the left is. Lower extremity muscle strength normal. Bilateral iliopsoas, quadriceps, biceps femoris muscle strength 3, bilateral tibialis anterior muscle strength 4, bilateral thumb extensor muscle strength 4