Answer 29

 

An answer emailed by Dr. Eman Taha:

"..about this case I think it is motor disease as it affects more group of muscles muscle of eye muscles of back also lower limbs, may be myasthenia gravies .."

-Thank you Dr.Eman, see the answer below...

 

Another answer emailed by Dr. Amira Hussien:

"..It's a case of myopathy, may be due to myasthenia gravis, hypocalcemia, myositis, or motor degeneration disease..."

-Thanks Dr. Amira,

 

To reveal the mystery below...

Do not go away..

Actually this what happened to a lot of our colleagues but most of them had agreed about the possibility of Myasthenia Gravis, however it was a case of "simple  primary hypokalemia" not secondary to certain situations or drug administration or a component of multiple deficiencies, (I think that it has not been reported before), however the patient gave an excellent response to potassium replacement and within few days she was normal .

 

N.B. it was a notice of interest that the predominant affection was towards the skeletal muscles that is why was an excuse for whom who went to the primary muscle diseases.