Tetraparesia fláccida / Flaccid tetraparesis

RESUMO

In this paper we review a clinical case of a man of 66 years old admitted to the medicine service of the Clinical Hospital of the University of Chile, with a clinical setting of flaccid tetraparesis associated with myalgias, dysphagia, dysphonia, reddish-violaceous eruption on the upper eyelids, periungual erythema and erythema distributed over the anterior neck and chest. We take this case to review the cases of flaccid tetraparesis that can be due to systemic, neuromuscular or psychiatric diseases. The clinical approach begins with the anamnesis drugs consumption, or systemic diseases; continues with the physical examination orientated to stablish compromise of first or second motoneuron. Finally laboratory test as muscle enzymes, endocronologic test, and others like electromyography and muscle biopsy. We also review the actual tratments and the outcome and prognosis with each of them