甲状腺毒性肌病是甲状腺功能亢进伴有肌肉病变。它被认为是一组症状的总称,该症状具有几个甲状腺功能亢进患者在病程中的几个主要表现(例如肌肉无力,肌肉麻痹,或疼痛)。从临床的角度来看,它可能只表现为肌肉相关症状。高代谢综合征(如甲状腺毒症)的症状不存在,模糊,或者相对延迟,所以很容易误诊.因此,出现肌病首发症状的患者应关注甲状腺毒性肌病的可能性。鉴于临床特征,甲状腺毒性肌病可分为慢性甲状腺毒性肌病,甲状腺毒症伴周期性瘫痪,急性甲状腺毒性肌病,甲状腺功能亢进合并重症肌无力,以及渗透眼肌麻痹的眼球突出。在本文中,我们回顾甲状腺毒性肌病的研究现状,诊断,和治疗。
Thyrotoxic myopathy is hyperthyroidism accompanied by muscle lesions. It is recognized as the general term for a group of symptoms with several main manifestations of several hyperthyroidism patients in the course (e.g. muscle weakness, muscle paralysis, or pain). From the clinical perspective, it may only be manifested as muscle-related symptoms. The symptoms of high metabolic syndrome (e.g. thyrotoxicosis) are absent, obscured, or relatively delayed, so it can be easily misdiagnosed. Accordingly, patients experiencing the first symptom of myopathy should concentrate on the possibility of thyrotoxic myopathy. Given the clinical characteristics, thyrotoxic myopathy can be devided into chronic thyrotoxic myopathy, thyrotoxicosis with periodic paralysis, acute thyrotoxic myopathy, hyperthyroidism with myasthenia gravis, as well as infiltrating exophthalmos with ophthalmoplegia. In this paper, we review thyrotoxic myopathy research status, diagnoses, and treatments.