Itching

Introduction There is an unbearable non-painful discomfort in the legs, like a crawling, acupuncture, and burning. There is an unbearable non-painful discomfort in the deep part of the calf, like a crawling, acupuncture, and burning. Restless legs syndrome can also be secondary to other diseases, common in the following reasons: uremia, iron deficiency anemia, folic acid deficiency, pregnancy, rheumatoid arthritis, Parkinson's disease, multifocal neuropathy, metabolic diseases and drugs of. I suggest you check the blood to see if there is anemia and calcium deficiency. The specific cause of the disease has not been fully elucidated. Mainly divided into primary and secondary, patients with primary restless leg syndrome often accompanied by family history.

Cause

Restless legs syndrome can also be secondary to other diseases, common in the following reasons: uremia, iron deficiency anemia, folic acid deficiency, pregnancy, rheumatoid arthritis, Parkinson's disease, multifocal neuropathy, metabolic diseases and drugs of. If there is bone itching, it is recommended to check the blood to see if there is anemia and calcium deficiency!

The specific cause of the disease has not been fully elucidated. Mainly divided into primary and secondary, patients with primary restless leg syndrome often accompanied by family history, it is currently believed that BTBD9, Meis1, MAP2K5, LBXCOR1 and other genes may be related to restless legs syndrome; secondary restless leg synthesis Patients can be found in iron deficiency anemia, pregnant women or maternal, late kidney disease, rheumatic diseases, diabetes, Parkinson's disease, type II hereditary motor sensory neuropathy, type I/II spinocerebellar ataxia and multiple sclerosis .

an examination

Related inspection

Bone and joint MRI examination of bone and joint plain bone and joint soft tissue CT examination of extremities

The diagnosis is based on clinical manifestations.

1, abnormal feeling: due to the indescribable discomfort of the limbs, resulting in a strong desire to exercise limbs, mainly the lower limbs. These abnormalities often occur deep in the limbs, not on the surface, such as the skin.

2, sports symptoms: patients can not sleep, keep moving limbs to relieve abnormal feelings. The main performance is to walk back and forth, keep shaking or flexing to stretch the lower limbs, or roll the opposite side in the bed.

3, the symptoms are aggravated at rest, activities can be temporarily relieved.

4, the symptoms increased at night, reaching a peak in the middle of the night.

Differential diagnosis

The diagnostic criteria for restless legs syndrome are as follows:

1, abnormal feeling: due to the indescribable discomfort of the limbs, resulting in a strong desire to exercise limbs, mainly the lower limbs. These abnormalities often occur deep in the limbs, not on the surface, such as the skin.

2, sports symptoms: patients can not sleep, keep moving limbs to relieve abnormal feelings. The main performance is to walk back and forth, keep shaking or flexing to stretch the lower limbs, or roll the opposite side in the bed.

3, the symptoms are aggravated at rest, activities can be temporarily relieved.

4, the symptoms increased at night, reaching a peak in the middle of the night.

Differential diagnosis

Bone fragility: Fragililisosium (also known as Osteogenesis Imperfecta), primary bone fragility (idiopathicosteopsathyrosis) and periosteal dysplasia (periostealdysplasia). It is characterized by fragile bone, blue sclera, deafness, and joint relaxation. It is a congenital hereditary pain caused by hypoplasia of mesenchymal tissue and collagen formation.

Ligament ossification: With the extensive development of spinal surgery, cervical vertebral ligament ossification of cervical vertebrae, thoracic vertebrae and lumbar vertebrae is not uncommon in clinical observations, especially after the advanced technologies of CT and MRI. The diagnostic rate and the discovery rate are significantly improved. There are many cases of compression or stimulation of the spinal cord, and severe cases require surgical resection. Cervical ligamentum flavum ossification has been discussed in a special section.

Stone osteopathy: Stone osteopathy is also known as marble bone, primary fragile bone sclerosis, sclerosing proliferative bone disease and chalk-like bone. It is a rare bone development disorder. It was first discovered by Albers-Schonberg (1904), also known as Albers-schonberg disease. The disease is characterized by the persistence of calcified cartilage, causing extensive bone sclerosis, and the severe case is related to the closure of the medullary cavity, causing severe anemia. The disease is often familial, and the vast majority of cases are recessive.

Central calcification: central chondrosarcoma can be characterized by blurred border osteolysis, with or without cortical bone disruption. Because cartilage tends to be calcified and ossified, X-ray areas can appear in the tumor, and calcification often occurs in cartilage lobule There is no structure around. It is characterized by irregular hazy particles, nodules or X-ray opaque rings.

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