A 6-Year-Old With Leg Cramps.
| Autor: | Jenssen BP; Departments of Pediatrics, and Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and University of Pennsylvania, Robert Wood Johnson Foundation Clinical Scholar Program, Philadelphia, Pennsylvania jenssenb@email.chop.edu., Lautz AJ; Departments of Pediatrics, and Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and., Orthmann-Murphy JL; Departments of Pediatrics, and Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and., Yum SW; Departments of Pediatrics, and Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and., Waanders A; Departments of Pediatrics, and Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and., Fox E; Departments of Pediatrics, and Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and. |
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| Jazyk: | angličtina |
| Zdroj: | Pediatrics [Pediatrics] 2015 Oct; Vol. 136 (4), pp. 732-9. Date of Electronic Publication: 2015 Sep 14. |
| DOI: | 10.1542/peds.2015-0332 |
| Abstrakt: | A 6-year-old girl presented with a history of leg pain and cramping that progressively worsened over a 2- to 3-week period of time. Her examination was notable for normal vital signs, limited range of motion of her left hip, and a limp. Inflammatory markers were slightly elevated, but the serum electrolytes, calcium, and magnesium, complete blood cell count and differential, and creatine kinase level were normal. She was hospitalized for further diagnostic evaluation and was noted to have abnormal muscle movements classified as myokymia (continuous involuntary quivering, rippling, or undulating movement of muscles). Electromyography confirmed the myokymia but did not reveal evidence of a myopathy or neuropathy, prompting additional evaluation for a systemic etiology. (Copyright © 2015 by the American Academy of Pediatrics.) |
| Databáze: | MEDLINE |
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