Affiliations: Department of Pediatrics, Calcutta National Medical
College, Kolkata, India | Department of Pediatrics, Apollo Gleangles Hospital,
Kolkata, India | Department of Pediatrics, Dr. BC Roy Memorial
Children's Hospital, Kolkata, India
Note: [] Correspondence: Dr. Suman Das, 44 Talpukur Road, Deulpara,
Naihati, North 24 Parganas, West Bengal, PIN 743165, India. Tel.: +91 983 672
1415, +91 33 25804519; E-mail: dr.sumands@gmail.com
Abstract: Chronic inflammatory demyelinating polyneuropathy is an immune
mediated disorder of more than 2 mo duration. A 5-year-old male child presented
with subacute onset of ascending weakness, hyporeflexia and respiratory
insufficiency requiring mechanical ventilation. He had suffered from an exactly
similar episode 1 yr back. Cerebrospinal fluid showed albuminocytological
dissociation. Nerve conduction velocity study showed combined demyelinating and
axonal type of polyradiculoneuropathy. Sural nerve biopsy revealed
demyelination and axonal degeneration. The child responded well to intravenous
immunoglobulin in the acute phase and prednisolone was used to maintain the
child in remission.
