TY  - BOOK
AU  - Ankomah, Pierre O. 
AU  - Czawlytko, Cynthia L.
AU  - El Khoury, Joseph B. 
AU  - Andrianus, Stefen 
AU  - Donnelly-Morell, M. Lauren 
TI  - Case 24-2026: A 74-year-old man with dyspnea, proximal muscle weakness, and hypoxemia
KW  - ALERGIA
KW  - INMUNOLOGÍA GENERAL
KW  - ENCEFALITIS
KW  - OTORRINOLARINGOLOGÍA
KW  - OFTALMOLOGÍA
KW  - INFECCIONES VIRALES
KW  - NEUROLOGÍA
KW  - MENINGITIS
N2  - The patient had been in his usual state of health, with hypertension and dyslipidemia, until 7 months before the current presentation, when intermittent binocular diplopia developed. Evaluation by an ophthalmologist affiliated with this hospital revealed ptosis in the right eye and fluctuating strabismus that was not associated with a cranial nerve abnormality. Testing for acetylcholine receptor antibodies was positive, and computed tomography (CT) of the chest showed a normal thymus. Treatment with pyridostigmine was started for presumed ocular myasthenia gravis, and the patient was referred to the neurology clinic affiliated with this hospital
ER  -