Dr. Yerania  Rodriguez Navedo  Md image

Dr. Yerania Rodriguez Navedo Md

#1 Ave Casa Linda Suite 101 Carr 177 Km 2.0 Los Filtros Salus
Bayamon PR 00959
787 891-1919
Medical School: Other - Unknown
Accepts Medicare: No
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: No
License #: 17960
NPI: 1548454788
Taxonomy Codes:
207R00000X 207RG0300X 207RR0500X

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Inflammatory myopathy as the initial presentation of cryoglobulinaemic vasculitis. - BMJ case reports
Cryoglobulinaemic vasculitis is characterised by immunoglobulin deposition at low temperatures. The most common manifestations are cutaneous involvement, arthralgias, Raynaud's phenomenon, peripheral neuropathy and renal disease. Myopathy is unusual and only a few cases have been reported. Here, we present a 31-year-old woman who developed progressive muscle weakness involving upper and lower extremities, dysphagia, paraesthesias and palpable purpura. Diagnostic studies revealed elevated creatine kinase, diffuse myopathic and sensorimotor axonal neuropathy on electromyography and nerve conduction studies, and inflammatory myopathy on muscle biospsy. Cryoglobulin levels were elevated on two occasions. She responded favourably to cyclophosphamide and high-dose corticosteroids. Cyclophosphamide was continued for 1 year followed by methotrexate. Prednisone was gradually tapered and discontinued 1 year later. She remained in clinical remission after 4 years of follow-up. This case suggests that cryoglobulinaemia should be considered in the differential diagnosis of a patient presenting with inflammatory myopathy.

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#1 Ave Casa Linda Suite 101 Carr 177 Km 2.0 Los Filtros Salus Bayamon, PR 00959
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