PT  - JOURNAL ARTICLE
AU  - Bashaer Albulushi
AU  - Farah Thabet
AU  - Saad Alshahwan
AU  - Yasser Elborai
AU  - Nawaf Alkhayat
AU  - Mohamed Alshahrani
AU  - Brahim Tabarki
TI  - Problem-solving in clinical practice: breathing difficulty and muscle weakness following allogeneic haematopoietic stem cell transplantation
AID  - 10.1136/archdischild-2019-317281
DP  - 2020 Sep 08
TA  - Archives of disease in childhood - Education & practice edition
PG  - edpract-2019-317281
4099  - http://ep.bmj.com/content/early/2020/09/07/archdischild-2019-317281.short
4100  - http://ep.bmj.com/content/early/2020/09/07/archdischild-2019-317281.full
AB  - 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.