asymmetricmuscularweaknessatrophy,fasciculations,andhyperreflexia[
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5-49yearoldhealthy
Contraindication:
imnocopromised
pregnant
DMandchroniclungorheartdisease
allergictoegg
withhxofguillain-barresyndrome
[
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acomegalyhypoyhyroidismRAAmyloidosispregnancy[
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usuallymonoarticular,affectingtheknee[
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sausagedigitsNAilpittingAbsenceofRAnotsymmetricjointinvolvement[
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upto15%ofthegeneralpopulationhassymptomsofraynoud'sphenomenon;
PrimaryRaynoudstypicallyoccursbetweentheagesof15and25;
Morethan90%ofptswithsystemicsclerosishaveRaynoud'sphenomenon;
Notassociatedwithischeictissuredamage
[
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one-halfrecoverinonemonth;anfgreaterthan95%recoverin6months.[
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MG:acetylcholinereceptorantibody;onlyaffectskeletalmuscles,notsmoothmuscles,sopupilsnochange;
Graves'disease:TSHreceptorantibody;
SLE:ANAantibody;anti-dsDNA(relativelyspecific);anti-Smanticbod;
Perniciousanemia:Anti-intrinsicfactorantibody,anti-parietalcellantibdy;
Hashimoto'sdisease:thyroglobinandthyroidperooxidaseantibody;
PrimaryBiliaryCirrhosis:Alpha-mitochondria;
[
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