title: Acute toxic neuropathy mimicking guillain barre syndrome.
abstract: METHODS
  A 30 year old male presented with numbness of palms and soles followed by weakness of upper limbs and lower limbs of 5 days duration, which was ascending and progressive. Three months back he was treated for oral and genital ulcers with oral steroids. His ulcers improved and shifted to indigenous medication. His clinical examination showed polyneuropathy. CSF study did not show albuminocytological dissociation. Nerve conduction study showed demyelinating polyneuropathy. His blood samples and the ayurvedic drug samples were sent for toxicological analysis.
  
  
  CONCLUSIONS
  Acute toxic neuropathy - Arsenic.
authors: Department of Family Medicine, Lakeshore Hospital and Research Centre, Kochi, Kerala, India.
authors: Muhammed Jasim Abdul
authors: MJ
authors: Jalal
authors: Department of Neurology, Lakeshore Hospital and Research Centre, Kochi, Kerala, India.
authors: Shirley Joan
authors: SJ
authors: Fernandez
authors: Department of Neurology, Lakeshore Hospital and Research Centre, Kochi, Kerala, India.
authors: Murali Krishna
authors: MK
authors: Menon
keywords: Guillain-Barre syndrome; indigenous medications; toxic neuropathy