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Acute toxic neuropathy mimicking guillain barre syndrome
Muhammed Jasim Abdul Jalal1, Shirley Joan Fernandez2, Murali Krishna Menon2
1Department of Family Medicine, Lakeshore Hospital and Research Centre, Kochi, Kerala, India.
Case:
A 30 year old male presented with numbness of palms and soles followed by weakness of upper limbs and lower limbs of 5 days duration, which was ascending and progressive. Three months back he was treated for oral and genital ulcers with oral steroids. His ulcers improved and shifted to indigenous medication. His clinical examination showed polyneuropathy. CSF study did not show albuminocytological dissociation. Nerve conduction study showed demyelinating polyneuropathy. His blood samples and the ayurvedic drug samples were sent for toxicological analysis.
Inference:
Acute toxic neuropathy - Arsenic.
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