Young-onset Amyotrophic Lateral Sclerosis with Rare Skin Manifestation: Case Report and Literature Review.

als amyotrophic lateral sclerosis hyperpigmentation motor neuron disease young-onset als

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
27 Apr 2020
Historique:
entrez: 3 6 2020
pubmed: 3 6 2020
medline: 3 6 2020
Statut: epublish

Résumé

Amyotrophic lateral sclerosis (ALS) is one of the most common motor neuron diseases (MND), which presents as muscle weakness, atrophy, spasticity, and, in extreme cases, may result in death due to respiratory failure. ALS has been reported with dermatological conditions such as bullous pemphigoid and decreased collagen. Hyperpigmentation usually occurs due to underlying adrenal or metabolic disorder, but no case of hyperpigmentation has been associated with MND. We report a case of a 25-year-old man who presented with signs of young-onset ALS (progressive weakness of both upper limbs) with hyperpigmentation of limbs. The patient did not have any other underlying etiology, which could have led to the development of hyperpigmentation Biopsy was negative for polymyositis and dermatomyositis. The patient was counseled about the nature of the disease and was advised regular follow-ups.

Identifiants

pubmed: 32483495
doi: 10.7759/cureus.7844
pmc: PMC7253073
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e7844

Informations de copyright

Copyright © 2020, Qazi et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Clin Dermatol. 1988 Apr-Jun;6(2):9-14, 47-8
pubmed: 3293747
Ther Clin Risk Manag. 2013;9:483-9
pubmed: 24348042
Acta Neurol Taiwan. 2014 Sep;23(3):82-9
pubmed: 26077179
Nat Rev Neurol. 2011 Oct 11;7(11):603-15
pubmed: 21989245
Nat Rev Neurosci. 2006 Sep;7(9):710-23
pubmed: 16924260
Handb Clin Neurol. 2007;82:249-78
pubmed: 18808898
Arch Dermatol. 2000 Apr;136(4):521-4
pubmed: 10768651
J Med Case Rep. 2011 Nov 02;5:538
pubmed: 22047468
Medicine (Baltimore). 2018 Dec;97(49):e13279
pubmed: 30544387
Complement Med Res. 2017;24(3):175-181
pubmed: 28641283
Clin Infect Dis. 2018 May 2;66(10):1636
pubmed: 32196077
Lancet. 2003 Sep 20;362(9388):971-82
pubmed: 14511932
N Engl J Med. 1991 Nov 21;325(21):1487-98
pubmed: 1658649
Arch Dermatol. 1969 Jul;100(1):1-6
pubmed: 5822351
Lancet. 1996 May 4;347(9010):1226-7
pubmed: 8622453
Drugs. 2008;68(8):1037-48
pubmed: 18484797
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 May;105(5):606-16
pubmed: 18206403
Am J Clin Dermatol. 2001;2(4):253-62
pubmed: 11705252
J Neurol Neurosurg Psychiatry. 1994 Jan;57(1):94-6
pubmed: 8301312

Auteurs

Aamna Qazi (A)

Medicine, Dow University of Health Sciences, Karachi, PAK.

Farheen Malik (F)

Internal Medicine, Dow University of Health Sciences, Karachi, PAK.

Lubna Shafi (L)

Medicine, Dow University of Health Sciences, Karachi, PAK.

Saqib Basar (S)

Medicine, Dow University of Health Sciences, Karachi, PAK.

Azka Qazi (A)

Medicine, Dow University of Health Sciences, Karachi, PAK.

Classifications MeSH