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Clinical Reasoning: A 58-Year-Old Man With Resting Tremor, Bradykinesia, and Distal Numbness

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A 58-year-old man presented with progressive right-hand loss of dexterity and resting tremor over 2 years, accompanied by sensory symptoms in the distal extremities and chronic cough. Neurologic examination revealed asymmetric parkinsonism, distal hypoesthesia... ...