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frozen handE_3
Neuro Notes

Partially necrotic and regenerating myofibers

Clinical History The 21-year-old patient presented with skin rash and proximal upper and lower extremity weakness of several weeks duration.…

Neuro Notes

Patient with “Mechanic’s Hands”

Clinical History This 40-year-old patient presented with progressive proximal upper and lower extremity muscle weakness (difficulty ascending stairs and lifting…

Neuro Notes

Perifascicular Necrosis

This 60-year-old patient presented with progressive proximal upper and lower extremity muscle weakness of two months duration.   Which of…


Neuro Notes

Perifascicular MHC1

This middle-aged patient presented with complaints of proximal muscle weakness, myalgias, and skin rash (face and chest) of several months…