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过去人们没有认识到真性肌强直可以作为甲状腺功能减退的特征之一而单独出现。本文报道1例亚临床型甲状腺功能减退病人伴发真性肌强直,经甲状腺素完全治愈。病例报告 42岁,男性,1974～75年出现四肢肌强直发作后缓解。1976年1月又复发,至3月发展至不能工作,不能步行,手活动时,尤其是握拳困难,松弛时缓慢,偶感前臂及腿痉挛性疼痛,呃逆时腹肌松弛缓慢。本人及家庭成员无营养不良性或先天性肌强直的体征及病史。检查:无明显甲状腺功能减退特征。有一中等大小,光滑而质硬的甲状腺肿物,未闻杂音。心率、血压正常,四肢肌肉发达,坚实。双手
In the past, people did not realize that myotonia can appear alone as one of the characteristics of hypothyroidism. This article reports a case of subclinical hypothyroidism patients with true muscle rigidity, thyroid hormone completely cured. Case report 42-year-old man, 1974 to 75 years after the onset of limb muscle rigidity attack ease. Recurrence in January 1976, until March to develop to not work, can not walk, hand activities, especially the difficulty of fist, slow relaxation, occasional spasms of forearm and leg pain, hiccups abdominal muscle relaxation is slow. I and family members have no signs of malnutrition or congenital muscular rigidity and history. Check: no obvious hypothyroidism characteristics. There is a medium size, smooth and hard thyroid mass with no unpleasant noise. Heart rate, normal blood pressure, muscular limbs, solid. Hands