A 6-Year-Old With Leg Cramps

被引:0
|
作者
Jenssen, Brian P. [1 ,3 ]
Lautz, Andrew J. [2 ]
Orthmann-Murphy, Jennifer L. [1 ]
Yum, Sabrina W. [1 ]
Waanders, Angela [1 ]
Fox, Elizabeth [1 ]
机构
[1] Childrens Hosp Philadelphia, Dept Pediat, Philadelphia, PA 19104 USA
[2] Childrens Hosp Philadelphia, Dept Anesthesiol & Crit Care Med, Philadelphia, PA 19104 USA
[3] Univ Penn, Robert Wood Johnson Fdn, Clin Scholar Program, Philadelphia, PA 19104 USA
关键词
D O I
10.1542/peds.2015-0332
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
A 6-year-old girl presented with a history of leg pain and cramping that progressively worsened over a 2- to 3-week period of time. Her examination was notable for normal vital signs, limited range of motion of her left hip, and a limp. Inflammatory markers were slightly elevated, but the serum electrolytes, calcium, and magnesium, complete blood cell count and differential, and creatine kinase level were normal. She was hospitalized for further diagnostic evaluation and was noted to have abnormal muscle movements classified as myokymia (continuous involuntary quivering, rippling, or undulating movement of muscles). Electromyography confirmed the myokymia but did not reveal evidence of a myopathy or neuropathy, prompting additional evaluation for a systemic etiology.
引用
收藏
页码:732 / 739
页数:8
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