Results
He received combination therapy with intravenous immunoglobulin (IVIG) 1g/kg/day for 2 days, methylprednisolone IV high dose up to 500mg every 12 hours and tapering to oral prednisone 60 mg daily, and mycophenolate mofetil titration up to 1,500mg oral twice a day. He was discharged to an inpatient rehabilitation facility with oral prednisone and mycophenolate mofetil. His CK level at discharge was 660 IU/L.
At the 3-month outpatient follow-up, prednisone had been tapered and discontinued but he remained on mycophenolate mofetil. The patient was able to walk and had significant improvement in oropharyngeal dysfunction.