Why the study?
Evaluating a child with acute flaccid monoparesis in the emergency department setting is challenging because of the uncommon focal presentation.
This case highlights the challenges of evaluating a child with monoparesis and establishing an association with asthma amyotrophy (Hopkins syndrome).
Alerts clinicians to Hopkins syndrome in pediatric asthma with focal paralysis; hypothesis-generating case report requiring prospective validation.
We report a rare case of a 22-month-old who developed flaccid paralysis of her right arm shortly after she was hospitalized for an asthma exacerbation. There are many etiologies of acute flaccid paralysis; however, because of the uncommon presentation of a focalized finding, establishing the diagnosis of this patient was difficult in the emergency department setting. Associated with asthma exacerbations, Hopkins syndrome is a paralytic illness that resembles poliomyelitis. This case highlights the challenges of evaluating a child with monoparesis and establishing an association with asthma amyotrophy.
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Gateau et al. (2019) studied this question.
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