PMC8092098_01
Clinical picture depicting muscle wasting associated with drooling of saliva
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F1
At the time of examination, the patient was not able to perform usual daily tasks due to muscle wasting [Figure 1] and involuntary movements of muscles of the limbs and orofacial region. The orofacial examination of the patient showed drooling of saliva, because of which the patient needed to wear a bib throughout the day [Figure 1].
Sutured traumatic ulcer
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F2
At the time of examination, a traumatic ulcer was also noted on the right buccal mucosa [Figure 2 shows sutured traumatic ulcer].
On peripheral blood examination, acanthocytosis was <2%
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F3
Although acanthocytosis is pathognomonic to ChAc, peripheral blood examination was done on two occasions, which revealed that acanthocytosis was <2% [Figure 3].