CASE 69 History: A 30-year-old woman with a history of long-standing multiple sclerosis presents with multiple episodes of numbness and weakness in the upper and lower extremities for the past 7 years. 1. What should be included in the differential diagnosis? (Choose all that apply.) a. Charcot-Marie-Tooth disease b. Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) d. Systemic lupus erythematosus 2. All of the statements regarding the criteria used in the diagnosis of CIDP are true except: b. Electrodiagnostic tests are mandatory. c. Increased cerebrospinal fluid (CSF) protein and normal CSF white blood cell count are typical. d. The final diagnosis of CIDP is made with nerve biopsy. 3. All of the following findings support acute-onset CIDP in a patient initially diagnosed as having Guillain-Barré syndrome except: a. Deterioration continues for more than 2 months after onset. b. Isolated enhancement of the anterior spinal roots of the cauda equina is seen on MRI. c. More than three treatment-related fluctuations occur. d. Initial presentation includes prominent sensory symptoms and signs.
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