Abstract
The diagnosis of post-polio syndrome (PPS) might be difficult as the diagnosis PPS mostly depends on the patient’s subjective description of the symptoms. Furthermore, the PPS patients have reached an age when concomitant diseases are common. However, an adequate diagnosis is important for treatment and prognosis. The aim of this case report is to describe the complexity of the PPS diagnosis.
Highlights
Poliomyelitis was before the vaccination against polio started in the 1950’s a huge medical and social problem
The patients in the case report suffers from a clinical deterioration with pain, fatigue and muscle weakness which are main findings in the diagnosis post-polio syndrome (PPS)
The new or increased symptoms could be explained by concomitant diseases like fibromyalgia, polyneuropathy and diabetes mellitus and not by PPS and therefor she was not diagnosed with PPS
Summary
The patients in the case report suffers from a clinical deterioration with pain, fatigue and muscle weakness which are main findings in the diagnosis PPS. The new or increased symptoms could be explained by concomitant diseases like fibromyalgia, polyneuropathy and diabetes mellitus and not by PPS and therefor she was not diagnosed with PPS. The present case report underlines the necessity to exclude concomitant disorders before the patients receive a PPS diagnosis
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