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Clinical Reasoning: A 60-Year-Old Man With Asymmetric Weakness and Persistent Fever
Yang Zheng1, Jing-Jing Xiang1, Xiao-Fang Zhang1
1From the Departments of Neurology (Y.Z.), Zhejiang Provincial Hospital of Chinese Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; Departments of Pathology (J.-J.X.), Rheumatology (X.-F.Z., J.H.), Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou; Department of Pharmacy (S.Z.), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; and Department of Neurology (M.-P.D.), Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Atypical peripheral neuropathies pose diagnostic challenges. This case demonstrates how pattern recognition and electrophysiologic studies aid in diagnosing rare, treatable neuropathies, even with unusual presentations like asymmetric weakness and fever.
Area of Science:
- Neurology
- Clinical Neuroscience
- Peripheral Nervous System Disorders
Background:
- Peripheral neuropathies (PN) present diagnostic challenges, particularly atypical cases.
- Asymmetric weakness, fever, and elevated inflammatory markers can complicate diagnosis.
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