Photo Quiz: Recent-Onset Muscle Hypertrophy Unrelated to Exercise

Question Based on the patient's history, physical examination, and laboratory results, which one of the following is the most likely diagnosis? * A. Amyloidosis. * B. Duchenne's muscular dystrophy. * C. Hypothyroidism. * D. Inclusion body myositis. * E. Polymyositis. Bone marrow biopsy det...

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Veröffentlicht in:American family physician 2008-03, Vol.77 (6), p.831
Hauptverfasser: Lima, Isabella, Jesus, Tais Araujo De, Galrao, Liliana, Santiago, Mittermayer B
Format: Artikel
Sprache:eng
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Zusammenfassung:Question Based on the patient's history, physical examination, and laboratory results, which one of the following is the most likely diagnosis? * A. Amyloidosis. * B. Duchenne's muscular dystrophy. * C. Hypothyroidism. * D. Inclusion body myositis. * E. Polymyositis. Bone marrow biopsy detects Î- or κ-producing plasma cells and is needed to rule out multiple myeloma.1 Although myalgia is a clinical manifestation of polymyositis and hypothyroidism, muscle hypertrophy does not occur with these disorders.
ISSN:0002-838X