Hypernatremic myopathy caused by a hypothalamic mixed germ cell tumor mimicking polymyositis.
Clin Rheumatol
; 26(9): 1591-4, 2007 Sep.
Article
em En
| MEDLINE
| ID: mdl-17136312
ABSTRACT
Hypernatremic myopathy was rarely reported in the literature and its clinical features have never been well-described. We present a 22-year-old man who had adipsic hypernatremia manifested with progressive proximal muscle weakness and remarkably high creatine kinase level that has never been reported in the cases of hypernatremic myopathy. His initial presentations were similar to that of polymyositis without the evidence of central nervous system dysfunction and hypopituitarism. The serum level of sodium at the beginning of myopathy is the lowest known in the literature. All the clinical presentations in this patient resulted from a hypothalamic mixed germ cell tumor with sub-acute intra-tumoral hemorrhage.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Polimiosite
/
Neoplasias Embrionárias de Células Germinativas
/
Hipernatremia
/
Neoplasias Hipotalâmicas
/
Doenças Musculares
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article