Acute weakness and dyspnoea are unusual presentation after allogeneic haematopoietic stem cell transplantation (HSCT) complicated by chronic graft-versus-host disease (GVHD). The differential diagnosis and management are challenging for the paediatrician. This case chronicles the diagnostic journey of a child who presented with weakness, dyspnoea and difficulty in speech, 2 years after allogeneic HSCT and GVHD and explores the approach to neurological manifestations in this context.
- myasthenia gravis
- bone marrow transplant
- graft versus host disease
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Twitter @Yasser Elborai
Contributors FT and BA: drafting the manuscript, manuscript concept/design. SA: critical revision of the manuscript. YE: critical revision of the manuscript. BT: manuscript concept/ design, critical revision of the manuscript and manuscript supervision.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed.
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