An Elderly Man With New Onset Weakness
A 70-year-old male with hypertension, hyperlipidemia with a past medical history of chronic migraine, chronic lower back pain and coronary artery disease, and S/P triple bypass was referred for progressive…
A Woman With Droopy Eyelids and Ophthalmoplegia
A 40-year-old Black woman presented with progressive droopy eyelids and blurred vision for the past 15 years. Her symptoms improved somewhat periodically, but during the past year, she developed intermittent…
A Woman With Muscle Pains and Dark Urine
An 18-year-old woman presented with acute renal failure. She had been at a church youth function at which the activities required running. She subsequently suffered exhaustion and muscle cramps. Later…
A Man With Weakness and Swelling in the Neck
A 47-year-old man presented with a 15-year history of progressive proximal muscle weakness in the arms and legs. He also noted thinning of muscle and voluminous swelling of the back…
A Boy Born Floppy With Severe Weakness and, Later, Contractures
This patient was initially evaluated elsewhere when he presented as a “floppy baby.” He was born at term of a 26-year-old primigravida; he was a 9-lb product of a 41-week…
A Man With Facial and Shoulder Muscle Weakness
A 22-year-old man with a strong family history of muscular dystrophy (his father and one brother) complained of difficulty raising his arms. He denied weakness in the legs. On examination,…
A Woman With Long-standing Weakness and Foot Deformities
A 43-year-old woman had had progressive leg weakness for 6 years, but she stated that she had been mildly weak since childhood when she had several falls. She had always…
A Woman With Droopy Eyelids and Difficulty Swallowing
A 71-year-old woman presented with a 5-year history of progressive difficulty swallowing, mild hoarseness, and droopy eyelids. She had an esophageal dilatation procedure with some improvement in swallowing 3 years…
A Young Man With Distal Leg Wasting and Normal Sensation
An 18-year-old Black man presented with a 5-year history of limping and difficulty walking and going upstairs. He denied pain, numbness, cramps, fasciculations, or difficulties swallowing. His family and social…
