PDF(Pubmed)
Abstract：
Dyspnea can be found as a symptom of a wide range of diseases. Clinical thinking usually leads us to more common or frequent syndromes and diseases. This case report alerts us to keep investigating when faced with therapeutic failure or the arising of new symptoms. The subject in this case had dyspnea as an initial presentation of his disease and was treated initially as a case of heart dysfunction. Nevertheless, because his symptoms did not respond to the treatment and even got worse, he was sent to the emergency room where he was medicated and discharged with the same diagnostic hypothesis. In light of a new characteristic symptom - ptosis - the hospital team expanded its clinical and laboratory investigation to neuromuscular diseases, reaching out the diagnosis of myasthenia gravis.
摘要：
呼吸困难可以被发现是多种疾病的症状。临床思维通常会导致我们更常见或频繁的综合征和疾病。此病例报告提醒我们在面临治疗失败或新症状出现时继续调查。在这种情况下,受试者具有作为其疾病的初始表现的呼吸困难,并且最初作为心脏功能障碍的情况进行治疗。然而，因为他的症状对治疗没有反应，甚至恶化了，他被送到急诊室，在那里他接受了药物治疗，并以相同的诊断假设出院。鉴于一种新的特征性症状——下垂——医院团队将其临床和实验室研究扩展到神经肌肉疾病，诊断为重症肌无力.
