A 45-year-old woman presents with progressive ascending paresthesias and weakness in both legs and hands over 6 weeks. Vital signs: BP 138/82, HR 94, RR 18, temp 37.2°C, SpO2 98% on room air. Nerve conduction studies reveal slowed velocities and prolonged latencies bilaterally. CSF analysis shows protein 185 mg/dL with normal glucose and cell count. She denies recent infections or medication changes. Which diagnosis best explains these findings?
- A)Chronic inflammatory demyelinating polyneuropathyGABARITO
- B)Amyotrophic lateral sclerosis
- C)Multiple sclerosis
- D)Guillain-Barré syndrome
- E)Diabetic polyneuropathy
Explicação
CIDP is a chronic demyelinating polyneuropathy with progressive course over weeks to months, segmental demyelination on NCS (slowed velocities, prolonged latencies), and elevated CSF protein with normal glucose. It often requires intravenous immunoglobulin or ... Ver explicação completa e trilha adaptativa →