Case Presentation: A 73-year-old woman with a past medical history of hypertension and osteoarthritis presented to the emergency department with progressive right lower back pain after a mechanical fall, subacute oropharyngeal dysphagia, and diffuse proximal and distal muscle weakness. On presentation, she was afebrile with unremarkable vital signs. Her labs were significant for a WBC [...]

Case Presentation: Introduction: Hypokalemic periodic paralysis (HOKPP) is characterized by transient episodes of muscle weakness and inability of muscle movement associated with hypokalemia. The paralysis typically affects the arms and legs, though the diaphragm and the tongue may also be affected.Case Description: A 50-year-old female with tobacco use and significant alcohol consumption presented with progressive [...]

Case Presentation: Lyme disease (LD) is caused by the Ixodes tick-borne infection with spirochetes Borrelia burgdorferi [1]. LD is most commonly reported in the Northeastern and upper Midwestern United States [2]. It is divided into three stages. Early localized, stage 1, with Erythema Migrans (EM) bull’s eye lesion present in 70-80% of patients [1], within [...]

Case Presentation: Statin-induced necrotizing autoimmune myopathy (SINAM) is an immune mediated myopathy characterized by proximal muscle weakness and necrosis in the presence of autoantibodies to hydroxyl-methyl-glutaryl-coenzyme-A (HMG-CoA) reductase. It is a rare side effect of statin use that must be recognized quickly in order to prevent the development of irreversible muscle weakness. Most cases occur [...]

Case Presentation: Rheumatoid myositis is often underdiagnosed due to its variable laboratory, MRI, and biopsy findings and often misdiagnosed as idiopathic polymyositis.50-year-old female with seronegative RA and vocal cord dysfunction after COVID-19 infection presented with worsening proximal muscle weakness, dysphagia, and arthritis. A few years back she had multiple episodes of bilateral MCP swelling and [...]

Case Presentation: An 82-year-old female with a past medical history of type II diabetes mellitus, prior CVA with residual right-sided weakness, CKD, and hyperlipidemia treated with atorvastatin presented to the ED for generalized weakness. The patient was previously hospitalized for weakness and received physical therapy as an inpatient before being discharged to a sub-acute rehabilitation [...]

Case Presentation: A 71-year-old woman with past medical history of COPD, nicotine dependence, and untreated chronic hepatitis C presented to emergency department with progressive swelling, muscular pain, and weakness of her upper and lower extremities as well as dysphagia. On arrival to the emergency department, exam demonstrated proximal more than distal decreased strength of the [...]