Journal
JCR-JOURNAL OF CLINICAL RHEUMATOLOGY
Volume 19, Issue 1, Pages 32-34Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/RHU.0b013e31827d8778
Keywords
dropped head syndrome; scleromyositis; isolated neck extensor myopathy
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Dropped head syndrome (DHS) occurs in patients with severe weakness of the neck extensor muscles, of diverse origin, but most frequently because of neuromuscular diseases. Exceptionally, DHS may be the first manifestation of a systemic autoimmune disease. This report describes the case of a patient with DHS as a presenting sign of scleromyositis. We analyze the clinical features of the case and discuss the most important aspects of its pathogenesis and differential diagnosis.
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