| 000 | 01712nam a2200325 4500 | ||
|---|---|---|---|
| 001 | ESSALUD | ||
| 005 | 20260821145452.0 | ||
| 007 | ta | ||
| 008 | t pe ||||| |||| 00| 0 spa d | ||
| 040 | _aBMG | ||
| 041 | _aeng | ||
| 100 |
_aAnkomah, Pierre O. _eAutor _954277 |
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| 245 | _aCase 24-2026: A 74-year-old man with dyspnea, proximal muscle weakness, and hypoxemia | ||
| 300 | _apáginas: 804-815 | ||
| 520 | _aThe 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. | ||
| 650 |
_aALERGIA _97055 |
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| 650 |
_aINMUNOLOGÍA GENERAL _953664 |
||
| 650 |
_aENCEFALITIS _913464 |
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| 650 |
_aOTORRINOLARINGOLOGÍA _953837 |
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| 650 |
_aOFTALMOLOGÍA _932364 |
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| 650 |
_aINFECCIONES VIRALES _953766 |
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| 650 | _aNEUROLOGÍA | ||
| 650 |
_aMENINGITIS _911171 |
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| 700 |
_aCzawlytko, Cynthia L. _954278 |
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| 700 |
_aEl Khoury, Joseph B. _954279 |
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| 700 |
_aAndrianus, Stefen _954280 |
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| 700 |
_aDonnelly-Morell, M. Lauren _954281 |
||
| 773 | 0 |
_022717 _922650 _dMassachusetts NEJM Group _oNEJM12 _tThe New England Journal of Medicine _wESSALUD _x0028-4793 |
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| 942 |
_cARTICULOS _e2026-08-21 _zsqb |
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| 999 |
_c22857 _d22857 |
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