Authors: Jayaraj K, Shaji C V, Kabeer K A, Prashanth S R
A young hypothyroid female with history of chronic inflammatory small joint arthralgias presenting with distal sensory motor symptoms of 8 weeks duration and prominent disturbances of bladder sensations was found to have symmetric motor and distal large fibre sensory loss and blunting of perineal sensations. On evaluation was found to have a normal nerve conduction study at presentation and imaging showing hypertrophic and enhancing cervical and lumbosacral nerve roots with a positive marker of mixed connective tissue disorder on ANA profile, fitting into a diagnosis of Chronic Immune Sensorimotor Polyradiculopathy in the background of a connective tissue disorder. Keywords: Chronic inflammatory demyelinating neuropathy, Autonomic dysfunction, Mixed connective tissue disorder
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