Clinical reasoning: a 40-year-old man with CIDP-like illness resistant to treatment.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23999567.
- Also identified by DOI 10.1212/WNL.0b013e3182a3523b and PMC identifier 3885213.
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Abstract
A 40-year-old man developed tingling and numbness in the feet 2 years ago. Three months later, he noticed difficulty standing on his toes. Outside evaluation showed a small immunoglobulin G (IgG) lambda paraprotein, elevated CSF protein of 335 mg/dL (<40 mg/dL), and nerve root thickening with mild gadolinium enhancement in the cauda equina region on lumbar spine MRI. He was presumed to have Guillain-Barré syndrome (GBS) and was treated with IV immunoglobulin (IVIg).
Medical subject headings
- Immunoglobulins, Intravenous
- Polyradiculoneuropathy, Chronic Inflammatory Demyelinating