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A nine-year-old right-handed girl from the United Arab Emirates was admitted to the hospital because of progressive weakness and areflexia.
The patient had been well until three months earlier, when a gait difficulty developed. A physician diagnosed a vitamin deficiency, and treatment was instituted but without benefit. One month later, progressive weakness and a slapping gait developed; she was unable to walk on her toes and could barely rise from a full squat. Another physician found that she had both proximal and distal weakness in the arms and legs, that the reflexes were absent throughout, and that the sensation of
Differential Diagnosis
Chronic Inflammatory Demyelinating Polyradiculoneuropathy
Hereditary Causes of Demyelinating Neuropathy
Vitamin Deficiencies
Arsenic Poisoning
Infections
Other Disorders
Concurrent Illnesses
Treatment of Chronic Inflammatory Demyelinating Polyradiculoneuropathy
Clinical Diagnosis
Dr. Howard W. Sander's Diagnoses
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Peripheral Neuropathy Center and the Department of Neurology, Weill Cornell Medical College, and the Department of Neurology, New York University School of Medicine both in New York (H.W.S.); the Department of Neurology, New York Medical College, Valhalla, N.Y. (H.W.S.); and the Department of Pathology, Massachusetts General Hospital and Harvard Medical School both in Boston (E.T.H.-W.).
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