%0 Journal Article %A Bashaer Albulushi %A Farah Thabet %A Saad Alshahwan %A Yasser Elborai %A Nawaf Alkhayat %A Mohamed Alshahrani %A Brahim Tabarki %T Problem-solving in clinical practice: breathing difficulty and muscle weakness following allogeneic haematopoietic stem cell transplantation %D 2020 %R 10.1136/archdischild-2019-317281 %J Archives of disease in childhood - Education & practice edition %P edpract-2019-317281 %X 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. %U https://ep.bmj.com/content/edpract/early/2020/09/07/archdischild-2019-317281.full.pdf