Profiles are not of actual patients.
Patient history and presentation
- 63-year-old Caucasian female
- Loss of sensation to light touch in feet
- Bilateral weakness in arms and legs that has progressed over the last 3 months
- Loss of balance
- Reduced deep tendon reflexes in all extremities
- No family history of neuromuscular disorders
NEXT...DIG DEEPER
WHICH LABS AND TESTS
WOULD
YOU ORDER?
YOU ORDER?
(Select all that apply)
- Electromyography
- Nerve conduction study
- Quantitative sensory testing
- Autonomic testing
- Lumbar puncture
- Biopsy: Nerve, skin, and/or fat pad
- Genetic testing
ENTER SELECTIONS
Test results from the case physician
Thank you for your selections. The results for the tests and labs the case physician selected are below.
- Labs: Normal glucose, renal, liver, and thyroid function
- Electromyography with nerve conduction study: Reduced conduction velocity, prolonged distal motor latency, distance dependent reduction of compound motor action potential amplitude, prolonged F-wave latency
- Lumbar puncture: Elevated protein in cerebrospinal fluid (CSF)
- Sural nerve biopsy: Macrophage-associated demyelination, onion bulb formation, Congo red negative
- Genetic test: No TTR gene mutations identified
(Choose one)
CIDP=chronic inflammatory demyelinating polyneuropathy.
