神經科LIAN, LI-MINGLI-MINGLIANCHANG, YANG-CHYUANYANG-CHYUANCHANGYANG, CHIH-CHINGCHIH-CHINGYANGYANG, CHIH-CHAOCHIH-CHAOYANGKAO, KO-PEIKO-PEIKAO2009-01-192018-07-122009-01-192018-07-121994http://ntur.lib.ntu.edu.tw//handle/246246/99645　　A 42-year-old female presented with progressive proximal muscle weakness, generalized hyperreflexia, marked bone pain, severe lumbago and knee arthralgia. Electromyographic study showed short-duration (5-10 msec) , variable amplitude( 200-2500 μV) polyphasic potentials. A muscle biopsy specimen revealed non-specific type II fiber atrophy. After a compregensive laboratory work-up, adult Fanconi syndrome was diagnosed. The patient's symptoms, including bone pain and proximal muscle weakness, were relieved after a six-week supplement of tricalcium phosphate, vitamin D3 and sodium bicarbonate. The hyperreflexia also became less brisk.#0092 #en-US