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Acute bilateral painless radiculitis with abnormal Borrelia burgdorferi immunoblot.
[gm1 gangliosidosis]
A
57
-
year
-old
woman
with
a
history
of
hypertension
and
hypothyroidism
presented
with
painless
left
arm
weakness
and
numbness
2
weeks
before
evaluation
.
Nerve
conduction
studies
of
the
left
arm
revealed
normal
motor
and
sensory
responses
.
Needle
examination
revealed
acute
denervation
changes
in
all
myotomes
of
the
affected
extremity
,
including
cervical
paraspinals
on
the
left
,
and
several
myotomes
on
the
contralateral
side
.
The
laboratory
evaluation
revealed
normal
anti-
GM
1
antibodies
and
3
IgM
/
5
IgG
bands
on
Lyme
Western
Blot
.
The
patient
began
treatment
with
28
days
of
intravenous
ceftriaxone
.
On
follow-up
,
patient
had
regained
full
strength
of
her
extremities
with
no
sensory
deficits
.
Inflammatory
borrelia
radiculitis
usually
presents
with
pain
in
the
distribution
of
the
affected
nerves
and
nerve
roots
.
The
novelty
of
this
case
report
rests
on
(
1
)
the
absence
of
primary
borreliosis
symptomatology
preceding
the
radiculitis
and
(
2
)
the
painless
and
bilateral
clinical
presentation
in
a
patient
with
suspected
Lyme
radiculitis
.
Diseases
Validation
Diseases presenting
"hypertension"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
aniridia
aromatase deficiency
cadasil
child syndrome
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cushing syndrome
cystinuria
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
fabry disease
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kallmann syndrome
kindler syndrome
lamellar ichthyosis
lymphangioleiomyomatosis
pendred syndrome
primary effusion lymphoma
scrub typhus
severe combined immunodeficiency
sneddon syndrome
typhoid
von hippel-lindau disease
well-differentiated liposarcoma
werner syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated