Analysis of 20 cases with endocrine myopathy misdiagnosed as polymyositis
10.3760/cma.j.issn.1008-6706.2016.22.013
- VernacularTitle:误诊为多发性肌炎的内分泌性肌病20例分析
- Author:
Zhenghan LI
;
Binhua XU
;
Wei WANG
;
Jingying SU
- Publication Type:Journal Article
- Keywords:
Polymyositis;
Muscular diseases,endocrine;
Diagnostic errors
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(22):3412-3415
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the causes of misdiagnosis and improve the level of diagnosis and treatment for endocrine myopathy,through the study the clinical data of 20 patients with endocrine myopathy who were misdiagnosed as polymyositis were analyzed.Methods 20 cases were retrospectively analyzed who suffered from proximal weakness as the main performance and misdiagnosed as polymyositis,through the method of supervision to track,review of the observation and methods of medical record information query.Results The main types of diseases which were misdiagnosed including 18 patients of thyroid diseases(13 patients of hypothyroidism,5 patients of hyper-thyroidism),2 patients of parathyroid disease(1 patient of hyperparathyroidism,1 patient of hypoparathyroidism). Conclusion Mastering polymyositis and endocrine myopathy in the identification of main points,improving the ability of differential diagnosis,so that doctor can avoid misdiagnosis.
