{"title":"脊髓灰质炎的非预期血浆交换治疗:麻痹性脊髓灰质炎和多根性炎鉴别诊断的困难。","authors":"M Färkkilä, E Kinnunen, T Hovi, M Iivanainen","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>During the recent polio epidemic in Finland, 3 patients were initially misdiagnosed as Guillain-Barré polyradiculitis, and 1 of them was treated with plasma exchange. The follow-up until 2 years showed no difference in the recovery between this patient and the 2 other poliomyelitis patients treated without plasma exchange. The importance of the differential diagnosis between acute poliomyelitis and acute Guillain-Barré polyradiculitis is emphasized. An evaluation scheme includes sequential physical and cerebrospinal fluid examinations, together with viral antibody determinations.</p>","PeriodicalId":8084,"journal":{"name":"Annals of clinical research","volume":"19 6","pages":"395-8"},"PeriodicalIF":0.0000,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Unintended plasma exchange therapy in poliomyelitis: difficulties in the differential diagnosis of paralytic poliomyelitis and polyradiculitis.\",\"authors\":\"M Färkkilä, E Kinnunen, T Hovi, M Iivanainen\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>During the recent polio epidemic in Finland, 3 patients were initially misdiagnosed as Guillain-Barré polyradiculitis, and 1 of them was treated with plasma exchange. The follow-up until 2 years showed no difference in the recovery between this patient and the 2 other poliomyelitis patients treated without plasma exchange. The importance of the differential diagnosis between acute poliomyelitis and acute Guillain-Barré polyradiculitis is emphasized. An evaluation scheme includes sequential physical and cerebrospinal fluid examinations, together with viral antibody determinations.</p>\",\"PeriodicalId\":8084,\"journal\":{\"name\":\"Annals of clinical research\",\"volume\":\"19 6\",\"pages\":\"395-8\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1987-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of clinical research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of clinical research","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Unintended plasma exchange therapy in poliomyelitis: difficulties in the differential diagnosis of paralytic poliomyelitis and polyradiculitis.
During the recent polio epidemic in Finland, 3 patients were initially misdiagnosed as Guillain-Barré polyradiculitis, and 1 of them was treated with plasma exchange. The follow-up until 2 years showed no difference in the recovery between this patient and the 2 other poliomyelitis patients treated without plasma exchange. The importance of the differential diagnosis between acute poliomyelitis and acute Guillain-Barré polyradiculitis is emphasized. An evaluation scheme includes sequential physical and cerebrospinal fluid examinations, together with viral antibody determinations.
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