Citation

Seven S, Fanø N. Ugeskr. Laeger 2015; 177(25): ePub.

Affiliation

Reumatologisk Afdeling, Køge Sygehus, Lykkebækvej 1, 4600 Køge. sh_yildirim@hotmail.com.

Copyright

(Copyright © 2015, Den Alm Danske Laegerforening)

DOI

unavailable

PMID

26101131

Abstract

Atypical symptoms raise classical diagnostic dilemmas of somatic versus functional disease. The challenge is greater when the condition is less frequent. Illustrating this issue is a case of stiff person syndrome (SPS) where a 46-year-old man was admitted with lower back and hip pain and stiffness of the musculature of the lower extremities resulting in stooped gait. Stiffness was absent while sleeping. Thorough clinical examination and tests were unable to explain the symptomology until suspicion of SPS was raised, supported by high levels of glutamic acid decarboxylase antibodies.

Language: da