A young woman with muscle weakness

Ataxia and weakness in a young woman.

A 28-year-old woman presented with slowly progressive ataxia and signs of upper and lower motor neuron dysfunction. She had no family history of neurologic disease. Neuroimaging study results were unremarkable, and the diagnosis remained obscure for several years. The differential diagnosis of motor system degeneration in a young adult is broad but focuses on inherited disorders that may have l...

A young woman with multiple hypopigmented patches

A 33–year-old woman was visited at the dermatological clinic of Loghman-e-Hakim Hospital with multiple hypopigmented patches on her right arm, buttocks and flanks. Her lesions developed over the past year with no regression. Lesions were resistant to multiple antifungal therapies. Clinical examination revealed multiple circular or oval patches on the right arm, flank and sacral area. There was ...

A 62-Year-Old Woman with Muscle Weakness.

A 62-year-old woman noticed muscle weakness in the right leg, which was followed a few months later by weakness in the left leg. Over a 6-month period, the muscle weakness progressed to the upper limbs. One year after onset, the patient was referred to a neurologist with a suspected diagnosis of amyotrophic lateral sclerosis. She was taking atorvastatin 40 mg (started approximately 6 years earl...

a young woman with multiple liver cysts

a 29-year-old housewife presented with abdominal pain and abnormal results on liver function tests (table 1). the patient was from a rural area (garmsar, iran) and there was no family history of a similar disease. her family owned various animals most notably jackals, dogs, and cats. the animals were not receiving regular veterinary check-ups, preventive care, or even vaccinations.

A pink papule on the forehead of a young woman