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Neuralgisk amyotrofi er en overset diagnose ved akutte skuldersmerter
Engelsk titel: Neuralgic amyotrophy is an overlooked diagnosis by sudden onset of shoulder pain Läs online Författare: Jurgensen, Louise ; Fagerberg, Christina ; Kibaek, Maria ; Brasch-Andersen, Charlotte Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 17017276

Tidskrift

Ugeskrift for Laeger 2016;178(21)2019-20 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Neuralgic amyotrophy (NA) is characterized by sudden onset of severe pain in the shoulder/upper arm and muscle amyotrophy. Up to 60% of patients with NA are misdiagnosed as having shoulder joint pathology or cervical pathology. We report a case of a 13-year-old girl diagnosed with the hereditary form of NA (HNA). Array comparative genomic hybridization showed a maternally inherited duplication of 1.5 Mb including the entire SEPT9-gene. The girl was treated with non-steroidal anti-inflammatory drugs, corticosteroids and physiotherapy. Individuals with HNA should avoid extreme muscle activity and severe cold, as this may trigger attacks.