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  #1  
Old 06-06-2012
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Default Which of the following is the most likely diagnosis?

A 32-year-old woman is evaluated in the office for a 2-week history of weakness of the right arm and left leg. The initial symptom was acute right wrist drop associated with sensory loss in a radial nerve distribution and severe pain. One week later, she developed similar symptoms in the left peroneal nerve distribution. The patient has systemic lupus erythematosus, and her medications are prednisone and hydroxychloroquine.

Which of the following is the most likely diagnosis?

A Guillain-Barré syndrome
B Lyme disease
C Motor neuron disease
D Toxic neuropathy
E Vasculitic neuropathy
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Old 06-06-2012
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Quote:
Originally Posted by tyagee View Post
A 32-year-old woman is evaluated in the office for a 2-week history of weakness of the right arm and left leg. The initial symptom was acute right wrist drop associated with sensory loss in a radial nerve distribution and severe pain. One week later, she developed similar symptoms in the left peroneal nerve distribution. The patient has systemic lupus erythematosus, and her medications are prednisone and hydroxychloroquine.

Which of the following is the most likely diagnosis?

A Guillain-Barré syndrome
B Lyme disease
C Motor neuron disease
D Toxic neuropathy
E Vasculitic neuropathy

I think toxic neuropathy, i am not sure
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Old 06-06-2012
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Vasculitic neuropathy (mononeuropathic multiplex)
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Old 06-06-2012
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Mononeuritis multiplex is a painful, asymmetrical, asynchronous sensory and motor peripheral neuropathy involving isolated damage to at least 2 separate nerve areas. Multiple nerves in random areas of the body can be affected.
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