16th September 2020

A 40-year-old male presents recurrent muscle cramps and myalgia

A 40-year-old male presents recurrent muscle cramps and myalgia. He further describes numbness and paraesthesia that has developed around his mouth over a similar time period. He has a past medical history of Crohn’s disease, which was diagnosed 3 years previously but has become more difficult to control over the past 6 months. On examination, you illicit Chvostek’s sign and find no other abnormalities. 

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