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Neuromuscular Pathology Case

机译：神经肌肉病理学案例

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A 58-year-old man was evaluated for 5 years of arthralgias and myalgias located in the upper and lower extremities, especially in the hands, feet, calves, and knees. These symptoms were worse at night or with physical activity. The patient denied weakness, paresthesias, craniobulbar symptoms, and episodes of myoglobinuria. He had been on a statin for the previous 7 years; it was discontinued at the time of presentation resulting in approximately a 30% improvement in pain. Other medical history included hypertension, hypercholester-olemia, a remote history of alcohol and cocaine abuse (10 years prior), psoriasis, and depression. There was no known history of muscle pain in his six living and two deceased siblings or in his deceased parents. Physical examination revealed diffuse tender points, normal strength and sensation, and normal gait, stance, and tendon reflexes.
机译：一名58岁的男子评估了5年的痛苦和位于上肢和下肢的Myalgias，特别是在手，脚，小牛和膝盖。 这些症状在夜间或身体活动中更差。 患者否认弱眠，感觉，颅骨症状和肌球蛋鱼的发作。 他去过了前7岁的他汀类药物; 在演示时停止了它导致疼痛的提高大约30％。 其他病史包括高血压，高胆固醇 - 葡萄球，酒精和可卡因滥用的远程历史（先前10年），牛皮癣和抑郁症。 他的六个生活中没有已知的肌肉疼痛史和两个死者兄弟姐妹或他已故的父母。 体格检查显示弥漫性柔软点，正常强度和感觉，以及正常的步态，姿势和肌腱反射。

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