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Washington University Experience | PERIPHERAL NEUROPATHY | 9A SARCOID | 2A0 Case 2 History
Case 2 History ---- The patient is a 77-year-old man with a clinical history of diabetes, hypertension, hyperlipidemia, and prior strokes resulting in residual left lower extremity weakness, who now presents with bilateral lower extremity weakness, sensory loss and urinary retention. The clinical differential includes vascular (vasculitis, small vessel vasculopathy) versus neoplastic (carcinomatosis, lymphoma) versus paraneoplastic versus inflammatory (sarcoidosis). EMG/NCS is consistent with severe widespread axonal neuropathy; the differential includes bilateral lumbosacral radiculoplexus neuropathies with multiple upper extremity mononeuropathies and an underlying severe length-dependent axonal polyneuropathy. The patient was being treated with steroids.
