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Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2University of British Columbia, Vancouver, British Columbia, Canada
A 52-year-old man, offspring of a consanguineous marriage, follow-up study for Morquio's syndrome, presents with progressive generalized dystonia, gait, speech disturbances, bilateral hip pain, and paraparesis. His brother has similar symptoms.
A 78-year-old man, status: post-exploratory laparatomy and small bowel resection. Following removal of central venous catheter, patient found to be unresponsive, with dilated pupils.
A 71-year-old man with history of HTN presents with sudden onset confusion.
A 7-year-old boy with fever, worsening irritability, seizures, proptosis, and hepatosplenomegaly.
A 54-year-old woman with slowly progressive pain in the right hemipelvis and radiation into the right leg for two months.
A 31-year-old woman with headache. Known c/o end-stage renal disease secondary to WHO class IV lupus nephritis. Lab evaluation c/w secondary hyperparathyroidism with normal serum calcium (10.0mg/dL), elevated parathyroid hormone (142pg/mL; normal 10-60pg/mL), and low vitamin-D-25-OH (15.2ng/ml; normal 31-80ng/mL).
CASE 2 12-year-old girl with history of seizures, short stature, and short metacarpals.
43-year-old woman with left-sided weakness. MRI to evaluate for "multiple sclerosis."
