Ghazala Hayat

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Idiopathic inflammatory myopathies (IIM) are a group of chronic, autoimmune conditions affecting primarily the proximal muscles. The most common types are dermatomyositis (DM), polymyositis (PM), necrotizing autoimmune myopathy (NAM), and sporadic inclusion body myositis (sIBM). Patients typically present with sub-acute to chronic onset of proximal weakness(More)
BACKGROUND Creutzfeldt-Jakob disease (CJD) is a rare, rapidly progressive neurodegenerative disease that almost always results in death in under a year from onset of symptoms. Here, we report four cases of CJD with different clinical presentations diagnosed at our institution over a 2-year period. CASES The first patient is an 82-year-old woman who(More)
Background: Delayed-release dimethyl fumarate (DMF), indicated for the treatment of patients with relapsing-remitting multiple sclerosis (MS), is a disease-modifying therapy with potential immunomodulatory and neuropro-tective effects. In clinical trials, DMF was associated with reduced white blood cell and absolute lymphocyte counts. Current US prescribing(More)
A 90-year-old woman has always looked younger than her age. For the past few years, she has had trouble wearing her purse on her shoulder, and now wears a cross-body bag. She has trouble keeping her bra straps on her shoulders. She has a transverse smile, no forehead wrinkles, and mild forward sloping of her shoulders. Serum CK was normal. Genetic testing(More)
Several variations in the muscle fiber distribution and differentiation have been described. Different hypotheses, including maturational dysfunction of motor neurons have been postulated. We present a 28 year-old male with proximal weakness, and negative family history. Motor strength was 4-/5 proximally and 4+/5 distally in the extremities. He was(More)
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