PARSONAGE-TURNER SYNDROME: CASE REPORT OF A HIV-SEROPOSITIVE PATIENT

Area of Science:

• Neurology
• Immunology
• Infectious Diseases

Background:

• Parsonage-Turner Syndrome (PTS) is a rare neuromuscular disorder impacting the scapular girdle musculature, characterized by muscle atrophy and substantial motor deficits.
• The exact etiology of PTS remains uncertain, though infectious and autoimmune factors are suspected contributors.
• Diagnostic challenges include differentiating PTS from conditions like cervical disc hernias, rotator cuff injuries, and rheumatic diseases.

Observation:

• Diagnostic workup for PTS involves laboratory tests, radiography, and MRI of the shoulders and cervical spine.
• Electroneuromyography is emphasized as a key diagnostic tool for confirming PTS.
• This case report highlights a rare association between Parsonage-Turner Syndrome and HIV seropositivity.

Findings:

• The study underscores the diagnostic complexity of Parsonage-Turner Syndrome, often requiring exclusion of other conditions.
• Electroneuromyography plays a critical role in establishing a definitive diagnosis.
• A rare co-occurrence of PTS with HIV was observed, emphasizing the need for broader diagnostic considerations.

Implications:

• Early and accurate diagnosis of Parsonage-Turner Syndrome is vital for initiating timely and appropriate treatment.
• The association with HIV suggests potential links or shared risk factors warranting further investigation.
• Recognizing this rare presentation can improve patient outcomes and inform clinical practice regarding neurological complications in HIV-positive individuals.