Clinical Reasoning: A 54-year-old man with dyspnea and muscle weakness
| Autor: | Miguel Saucedo, Fatima Pantiu, Luciana Leon Cejas, Eduardo Borsini, Bjarne Udd, Anibal Chertcoff, Lucrecia Bandeo, Ricardo Reisin |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Orthopnea Pediatrics medicine.medical_specialty Sitting Asymptomatic Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Muscular Diseases medicine Humans 030212 general & internal medicine Diaphragmatic weakness Muscle Weakness biology business.industry Genetic Diseases Inborn Muscle weakness Middle Aged medicine.disease 3. Good health Diaphragm (structural system) Pneumonia Dyspnea Lower Extremity biology.protein Creatine kinase Neurology (clinical) medicine.symptom business Respiratory Insufficiency 030217 neurology & neurosurgery |
| Zdroj: | Neurology. 92(10) |
| ISSN: | 1526-632X |
| Popis: | A 54-year-old man was referred due to a 15-year history of unexplained dyspnea and progressive muscle weakness. The patient had an unremarkable birth and development history. His mother also had dyspnea of unidentified cause and died suddenly at age 70 years. At age 40, a reduced vital capacity (VC) was identified in pulmonary tests during a smoking cessation treatment. He was asymptomatic. At age 45, he developed dyspnea while playing tennis without “second wind” phenomenon or worsening with fasting. At that time, a creatine kinase (CK) level of 490 U/L (normal |
| Databáze: | OpenAIRE |
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