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Dropped Head Syndrome in a Patient With Scleromyositis

Fernández-Serna, Monica MD; Arboleya, Luis MD; Alonso, Sara MD; Queiro, Rubén MD; Alperi, Mercedes MD

JCR: Journal of Clinical Rheumatology:
doi: 10.1097/RHU.0b013e31827d8778
Case Reports

Abstract: Dropped head syndrome (DHS) occurs in patients with severe weakness of the neck extensor muscles, of diverse origin, but most frequently because of neuromuscular diseases. Exceptionally, DHS may be the first manifestation of a systemic autoimmune disease. This report describes the case of a patient with DHS as a presenting sign of scleromyositis. We analyze the clinical features of the case and discuss the most important aspects of its pathogenesis and differential diagnosis.

Author Information

From the Servicio de Reumatología, Hospital Universitario Central de Asturias, Oviedo, Spain.

The authors declare no conflict of interest.

Correspondence: Luis Arboleya, MD, Servicio de Reumatología, Hospital Universitario Central de Asturias, C/ Celestino Villamil s/n, 33006, Oviedo, Spain. E-mail:

© 2013 Lippincott Williams & Wilkins, Inc.