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14 June, 2025

This case underscores the necessity for clinicians to maintain a high degree of awareness when managing OLP in patients who exhibit unusual symptoms or respond poorly to therapy. The connection between OLP and GS, though rare, highlights the need for a comprehensive diagnostic approach.

A five-month-old male infant was brought into the emergency department by parents with hypotonicity (reduced muscular tone) and drowsiness that began the evening before. The infant presented with refractory atopic dermatitis and recent weight loss.

A 25 years-old, teacher, complains of double vision. She finds it difficult to talk after prolonged speaking. She is pregnant.Episodes of double vision began 6 weeks ago. Elsa’s husband reported fluctuating droopy eyelids in the morning and evening, which started 4 weeks ago.