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What are the performance of alcoholic myopathy and how to diagnose?
1. Acute illness myopathy which is a serious and life threatening illness, chronic alcohol consumption in patients with chronic alcoholism, excessive drinking in a more acute onset, manifested as sudden appearance of two lower limbs cramps and pain, fatigue , edema and tenderness, for systemic or confined to one limb, with tendon reflexes diminished or disappeared.
May have myoglobinuria, serum muscle enzyme creatine phosphokinase (CPK) activity increased, can lead to acute renal failure, hyperkalemia and death, muscle biopsy showed acute rhabdomyolysis, electromyography usually shows the performance of primary myopathy.
2. It is a chronic myopathy caused by long-term drinking as proximal muscle weakness and muscle wasting disease, manifested as a chronic, painless myopathy, bilateral symmetrical weakness and muscle atrophy, can be light re, the most commonly involving the pelvic girdle and thigh muscles, shoulder girdle weakness rare, the disease often associated with alcoholic peripheral neuropathy exist.
According to drinking history, typical clinical symptoms and signs, serum CPK, aldolase increased diagnosis of acute myopathy is not difficult, serum enzyme levels and EMG can help diagnose, creatine kinase (CK) increased specific muscle injury is a sensitive indicator of muscle protein in the release of muscle cell damage quickly cleared from the kidney, muscle lasted only a few hours prot


einuria, proteinuria in the diagnosis of muscle measured the sensitivity of muscle injury is only about 18% of individual cases, muscle biopsy feasible .
Mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes of clinical research progress
Mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes neuroimaging features of 22 cases of
Mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes in 31 cases, neuroimaging and pathological analysis of muscle Shock the patient's metabolic acidosis, lactic acidosis, which can produce serious consequences?
Phenformin lactic acidosis caused by diabetes, 1 case
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