A 16-year-old boy is brought to your clinic by his parents with a complaint of abnormal involuntary facial movements . The mother said the boy was well until eight weeks before admission . After that, however, he started developing a sore throat and febrile illness, along with swelling and pain in several large joints. Upon asking further questions, the mother informs that the symptoms started in his knees, which later moved to his ankles, followed by his elbows . She informs you further that the boy partially responded to ibuprofen .
As a result, the boy recovered within three weeks . However, for the last 24 hours , they have observed emotional lability and involuntary speedy and unreasonable actions , particularly on his face. Examination A small friendly chat with the boy reveals that the boy is physically well and not febrile . He denies weakness or sensory loss. However,…
