Inability to Raise Extremities, Hard Skin in 50-year-old Woman
A 50-year -old woman with chronic renal failure and has been on hemodialysis for five years. She had multiple gadolinium enhanced MRIs for chronic low back pain (LBP). She developed inability to raise arms and legs that evolved over six months. She had no dysphagia. She was found to have hard skin and breasts and her CK level and EMG were normal.
The most likely diagnosis is:
1. Scleroderma
2. Polymyositis
3. Nephrogenic systemic sclerosis (NSS)
4. Polymyalgia rheumatica
5. Systemic calcinosis
Click here to see the solution.
-
Video-Case Report: Progressive Neuropathy With Cerebellar Ataxia -
Continuous Movement of the Toes -
Chronic Facial Weakness and Deafness -
Functional Weakness and Dysarthria in a 66-Year-Old Man Previously Diagnosed with CIDP -
Patient with Severe Pain and Hematoma of the Bicep -
January 2017 Video Challenge: Dropped Head Syndrome -
August 2016 Video Challenge: A Woman with Slowly Progressive Weakness of the Arms and Legs -
June 2016 Video Challenge: Subacute Severe Pelvis and Anterior Thigh Pain -
March 2016 Case Challenge: A Woman with Muscle Stiffness -
November/December 2015 Case Challenge: A 70-Year-Old Man with a Sudden Lisp -
September 2015 Case Challenge: Scapular Winging After Cervical Lymph Node Biopsy -
A Fisherman Who Can Not Peel Shrimp Any More -
Ptosis and Recent-onset Visual Impairment in a 32-Year-Old Man -
Tinnitus and Otalgia in a 41-year-old Woman -
Weakness and Atrophy of Right Hand Muscles in A 47-year-old Man -
A Mark of Success? -
Dysarthria and positive myasthenia serology in a 75-year-old man -
Inability to Raise Extremities, Hard Skin in 50-year-old Woman -
Recurrent Acute Focal Pain and Persistent Numbness in a Middle-age Woman -
Familial Myotonia -
Facial Twitching Progressing to More Bothersome Symptoms in a 42-year-old Man
