Case 22-2019: A 65-Year-Old Woman with Weakness, Dark Urine, and Dysphagia

N Engl J Med. 2019 Jul 18;381(3):275-283. doi: 10.1056/NEJMcpc1900589.

Authors

Mason W Freeman¹, Ajay K Singh¹, Amanda C Guidon¹, Sheila L Arvikar¹, Robert H Goldstein¹, Nathan F Clement¹

Affiliation

¹ From the Departments of Medicine (M.W.F., S.L.A., R.H.G.), Radiology (A.K.S.), Neurology (A.C.G.), and Pathology (N.F.C.), Massachusetts General Hospital, and the Departments of Medicine (M.W.F., S.L.A., R.H.G.), Radiology (A.K.S.), Neurology (A.C.G.), and Pathology (N.F.C.), Harvard Medical School - both in Boston.

PMID: 31314973
DOI: 10.1056/NEJMcpc1900589

No abstract available

Publication types

Case Reports
Clinical Conference

MeSH terms

Aged
Atorvastatin / adverse effects*
Autoimmune Diseases / complications
Autoimmune Diseases / diagnosis*
Carotid Artery, Internal / diagnostic imaging
Carotid Artery, Internal / pathology
Cerebral Infarction / diagnostic imaging
Deglutition Disorders / etiology*
Diagnosis, Differential
Female
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / adverse effects*
Magnetic Resonance Angiography
Muscle Weakness / etiology
Muscle, Skeletal / pathology*
Myoglobinuria / etiology
Myositis / complications
Myositis / diagnosis*
Myositis / immunology
Rhabdomyolysis / diagnosis
Rhabdomyolysis / etiology
Tomography, X-Ray Computed

Substances

Hydroxymethylglutaryl-CoA Reductase Inhibitors
Atorvastatin