Case Presentation: An 8-year-old female with a 10-day history of intermittent myalgia and fatigue presented to the emergency department after waking with severe, diffuse myalgias. Initial laboratory work-up included CBC, CMP and CPK. Most significant was a CPK of 35,000 units/L. Aggressive fluid repletion was started for presumed viral induced rhabdomyolysis. After 5 days of [...]

Case Presentation: A 35-year-old Caucasian male patient presented to our clinic complaining of fatigue, proximal muscle weakness, and pain. Twelve years ago, he was diagnosed with acute myeloid leukaemia, and due to poor prognostic factors, he underwent allogeneic HSCT from his sister, an HLA full-matched sibling donor. His past medical history is significant for chronic [...]

Case Presentation: Patient presented to the ED in June 2019 with 6 month history of progressive proximal bilateral upper and lower extremity weakness, swallowing difficulty and 100 lbs. weight loss over 3 months. Exam was significant for decreased strength of bilateral hip flexors, knee flexors and knee extensors with intact reflexes. Labs were significant for [...]

Case Presentation: Six-year-old female ZT presented for evaluation of knee pain which turned into back pain after several weeks duration. ZT was initially seen in the outpatient setting for bilateral knee pain where she was sent home with supportive care. She then started developing body aches, falling, and difficulty standing despite home therapy. ZT was [...]

Case Presentation: A 75-year-old Caucasian female with a history of hyperlipidemia treated with statin presented to the emergency room for generalized weakness. She became completely bedbound over the course of 5 days. Examination showed symmetric muscle weakness with power 2/5 at proximal muscles but normal strength in distal muscles. Deep tendon reflexes were decreased. She [...]