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1.
Nervenarzt ; 93(10): 1062-1073, 2022 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-36121449

RESUMO

Myalgia describes pain in the skeletal muscles. According to the current German clinical guidelines from 2020 (AWMF register number: 030/051), the initial diagnostic assessment consists of the anamnesis, clinical examination, electrophysiological examination and standard laboratory tests. Additional special examinations, such as molecular genetic investigations, special laboratory tests, medical imaging and muscle biopsy are only needed in certain cases. This article focuses on rare neurological diseases that are classically associated with myalgia. In this context etiologically different diseases are considered, whereby some genetically linked diseases (fascioscapulohumeral dystrophy, FSHD, dystrophia myotonica, McArdle's disease, Pompe's disease, limb girdle muscular dystrophy) are contrasted with diseases with an (auto)immune-related pathogenesis (stiff-person syndrome, Isaacs syndrome). The aspects relevant for the diagnosis are particularly highlighted. The therapeutic aspects of the diseases are not part of this article.


Assuntos
Mialgia , Doenças Raras , Biópsia , Diagnóstico Diferencial , Humanos , Músculo Esquelético , Mialgia/diagnóstico , Mialgia/etiologia , Mialgia/patologia , Doenças Raras/diagnóstico
2.
Schmerz ; 36(3): 213-224, 2022 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-35486202

RESUMO

Myalgia describes pain in the skeletal muscles. According to the current German clinical guidelines from 2020 (AWMF register number: 030/051), the initial diagnostic assessment consists of the anamnesis, clinical examination, electrophysiological examination and standard laboratory tests. Additional special examinations, such as molecular genetic investigations, special laboratory tests, medical imaging and muscle biopsy are only needed in certain cases. This article focuses on rare neurological diseases that are classically associated with myalgia. In this context etiologically different diseases are considered, whereby some genetically linked diseases (fascioscapulohumeral dystrophy, FSHD, dystrophia myotonica, McArdle's disease, Pompe's disease, limb girdle muscular dystrophy) are contrasted with diseases with an (auto)immune-related pathogenesis (stiff-person syndrome, Isaacs syndrome). The aspects relevant for the diagnosis are particularly highlighted. The therapeutic aspects of the diseases are not part of this article.


Assuntos
Mialgia , Doenças Raras , Biópsia , Diagnóstico Diferencial , Humanos , Músculo Esquelético/patologia , Mialgia/diagnóstico , Mialgia/etiologia , Doenças Raras/diagnóstico
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