Abstract
Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an autoimmune disease characterized with multifocal demyelination in peripheral nerves. Hashimoto thyroiditis is autoimmune disease of thyroid gland. We reported a patient having these diseases together in the postpartum period. Twenty-three year-old female patient presented with progressive weakness in lower extremities and walking disability for three months. Symmetric weakness (4/5) in both flexor and extensors of ankle and toes, decreased deep tendon reflexes, decreased vibration and position sence and unresponsive plantar reflex in lower extremities were found in neurological examination. We found elevated TSH, AntiTPO and ATG levels, decreased T3 and T4 levels in serum, albuminocytological dissociation in cerebrospinal fluid (CSF) and conduction blocks in peripheric nerves in electrophysiological examination. Patient was diagnosed as Hashimoto thyroiditis and CIDP according to these findings, and she was treated with L-thyroxine and intravenous methylprednisolone. Clinical findings improved, but electrophysiological findings didn’t improved at second month.
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