A Great Athlete with Muscular Weakness

A 21-year-old Romanian man presented to our clinic for leanness assessment evolving several years. He had been adopted at the age of 3 years old; hence, no familial history was available. His medical notable dyspraxia, dyslexia, bilateral cryptorchidism, and scoliosis in infancy. practiced water polo, swimming, martial arts, but recent years, amyotrophy weakness both arms developed (Figure, A) without dyspnea or swallowing troubles. In searching underlying disease, malabsorption, endocrinopathy, infections, cancer, anorexia nervosa ruled out previously by many specialists.