Abstract

The Galle Medical Journal is published by the Galle Medical Association. The journal is published quarterly in March, June, September and December each year. The submissions are accepted throughout the year. The aims of the Journal are to foster co-operation among the medical fraternity and to be a forum to make literary contributions, share experiences encountered in medical practice, update their knowledge and have debates on topics related to all aspects of medicine.

Highlights

  • A 42 year-old previously healthy labourer presented with muscle pain, difficulty in getting up from the squatting position and inability to carry out his normal work for five months duration

  • Severe muscle tenderness was noted in both thighs with a positive Gower's sign

  • Patients with hypothyroidism have frequent muscle complaints and proximal muscle weakness occurs in about one third of them [1]

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Summary

Introduction

A 42 year-old previously healthy labourer presented with muscle pain, difficulty in getting up from the squatting position and inability to carry out his normal work for five months duration. He had coarse features with loss of hair in the outer third of the eyebrows. Voice was hoarse and the skin was dry. Severe muscle tenderness was noted in both thighs with a positive Gower's sign.

Results
Conclusion
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