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人免疫缺陷病毒HIV消瘦综合征(wasting synd-rome,WS)表现为体重明显下降(>10%)和慢性腹泻或无力。间隙或持续发热也是诊断的依据之一。该综合征为诊断AIDS的充分依据。从1987年8月到1988年12月,英国报告了28,920例AIDS,其中14.6%诊断为WS。本文报告5例HIVWS。本组4例具有符合AIDS诊断标准的其他表现,1例为无症状性HIV血清学试验阳性者。从症状加重到诊断肌病为3～12个月,平均7个月。5例均表现为进行性近端肌无力,通常从下肢开始,下肢肌肉疼痛。体重明显下降,均有间隙性发热。检查发现中或重度对称性近端肌无力,累及颈部屈肌。其他体征包括反射亢进,胸段感觉障碍平面或手套
Human immunodeficiency virus wasting synd-rome (WS) appears to have a significant weight loss (> 10%) and chronic diarrhea or weakness. Gaps or persistent fever is also one of the bases for diagnosis. The syndrome is a sufficient basis for the diagnosis of AIDS. From August 1987 to December 1988, the United Kingdom reported 28,920 AIDS cases, of which 14.6% were diagnosed with WS. This article reports 5 cases of HIVWS. The group of 4 patients with other diagnostic criteria consistent with the performance of AIDS, 1 case of asymptomatic HIV serology test positive. From symptoms to diagnosis of myopathy for 3 to 12 months, an average of 7 months. Five cases showed progressive proximal muscle weakness, usually from the lower limbs, lower extremity muscle pain. Weight decreased significantly, both have intermittent fever. Check found in or severe symmetry of the proximal muscle weakness, involving the neck flexor. Other signs include hyperreflexia, thoracic sensory disorder flat or gloves