Skin protruding chest

Introduction Small chorea, also known as rheumatoid chorea or Sydenham chorea, is a diffuse encephalopathy that is closely related to rheumatism and is characterized by irregular dance-like involuntary movements and decreased muscle tone. Clinical manifestations have a sharp skin and so on.

Cause

Reasons for protruding breasts:

The disease is closely related to rheumatism, often a manifestation of acute rheumatism, and pregnancy-induced chorea in pregnant women is also a recurrence of rheumatic chorea. It can also be seen after other infectious diseases such as scarlet fever and diphtheria.

The disease is mainly in the cerebral cortex, striatum, cerebellum, substantia nigra, etc., showing a non-specific reversible inflammatory lesion, vascular congestion in the lesion, perivascular lymphocytes and plasma cells infiltration, and diffuse degeneration of nerve cells.

an examination

Related inspection

Brain CT examination of cranial nerve examination

The diagnosis of a sharp chest:

(A) medical history and symptoms: more common in adolescents and women, adults and pregnant women can also be affected. More subacute onset. Early temperament, clumsiness and some minor involuntary movements, followed by eyebrows, licking, mouth, tongue, tongue, neck, shoulders, shoulders, arms, knees, and thighs Involuntary, irregular, non-repetitive and purposeless fast movements. Emotional excitement is even more. Symptoms often start from one side of the face or fingers, gradually affecting the body or the whole body; the upper limbs are heavier than the lower limbs, relieved when quiet, and disappear when sleeping. Some patients can still speak unclear.

(B) Physical examination found: There may be low muscle tone, weak sputum reflex, uncoordinated movement, ataxia and other cerebellar signs. Those with impaired cerebral cortex are emotionally unstable, irritating, and excited, and those with heavy consciousness are blurred or agitated.

(3) Auxiliary inspection:

1, blood sedimentation, anti-"O" increased.

2, immune function check: IgG, IgM, IgA can be increased.

3, waist wear CSF check: early Ig can be increased.

4, EEG 55%-75% abnormal, characterized by high amplitude slow wave and rhythm in the top pillow area.

Differential diagnosis

It is easy to confuse the following symptoms:

1. Habitual sputum: It is also more common in children, but its involuntary movement is a rigid and repeated forced action that is limited to certain muscles or muscle groups, which is different from this disease.

2, tics - slang syndrome: occurs well in male children, the disease is chronic and persistent and the symptoms are fluctuating. In addition to multiple muscle twitching, there may be involuntary vocalizations and abnormal language actions, such as swearing words and movements.

3, hepatolenticular degeneration: more in the onset of adolescents, can also show a dance-like involuntary movement, but the onset is slow, progressive aggravation, copper metabolism disorders and family genetic history can be identified.

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