• J Clin Rheumatol · Jan 2013

    Review Case Reports

    Dropped head syndrome in a patient with scleromyositis.

    • Monica Fernández-Serna, Luis Arboleya, Sara Alonso, Rubén Queiro, and Mercedes Alperi.
    • Servicio de Reumatología, Hospital Universitario Central de Asturias, Oviedo, Spain.
    • J Clin Rheumatol. 2013 Jan 1;19(1):32-4.

    AbstractDropped 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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