A Woman With Difficulty Walking and Ataxia
A 67-year-old woman complained of weakness in both lower extremities for 3 months; she also had burning sensations in her feet and difficulty walking, with marked unsteadiness which caused her…
A Man With Progressive Neuropathy and Congestive Heart Failure
A 59-year-old man presented with a 3-year history of paresthesias in the legs, feet, and thighs and weakness in the legs, with difficulty going up stairs and getting up from…
A Young Woman With Difficulty Swallowing
A 20-year-old woman presented for evaluation of progressive dysphagia for approximately 2 years, worsening during the last 4 months. She had lost 70 lb. For these reasons, she had chest…
A Weak Woman With a Weak Baby
A 30-year-old G2POA1 African American female developed diplopia and fatigue during the late second trimester of pregnancy. A year earlier, she had experienced similar symptoms briefly, but they improved spontaneously….
An Elderly Woman With a Progressive Neuropathy
A 75-year-old woman with congestive heart failure and coronary artery disease was evaluated for progressive numbness and weakness in the feet and legs for the past 3 months. She had…
A Woman With a Demyelinating and Axonal Neuropathy
A 50-year-old female was referred for a progressive neuropathy, possible CIDP which did not respond to IVIG treatment. She started having symptoms 2 years prior to presentation with burning pain…
A Boy With Leg Weakness
A 17-year-old patient started walking on the sides of his feet and had a tendency for footdrop since the age of 8. He was the product of a normal pregnancy…
A Woman With Rheumatoid Arthritis Who Developed Numbness and Pain in the Feet
A 64-year-old woman with rheumatoid arthritis (RA) was being treated with oral prednisone, methotrexate 7.5 g weekly, and rofecoxib. She also received thyroid replacement, injections of Kineret (anakinra), a recombinant…
A Woman With Granulomatous Lesions in the Lungs and a Peripheral Neuropathy
A 71-year-old woman presented initially to her internist with an acute episode of severe cough, mild fever, and weight loss. Chest x-ray and CT scan demonstrated bilateral granulomatous lesions (…
An Elderly Woman With Foot Drop and Hand Weakness
A 76-year-old woman presented several days after a sudden onset of left foot drop that occurred immediately after a fall. She also complained of anorexia, weight loss, malaise, and numbness…
