title: An elderly male with tingly legs and a heavy heart: Persisting with the diagnosis!
abstract: Pursuing a diagnosis despite a negative nerve biopsy report requires a strong clinical conviction. Paying attention to clinical details and a diligent review of medical records is needed to solve cases in which the diagnosis is not obvious despite numerous tests. We present once such case of an elderly man with chronic diarrhea, weight loss, and peripheral neuropathy and elaborate on a step by step basis on how the clinical thought process evolved after sifting through the reports of scan and tests done during his work up.
authors.affiliation: Department of Neurosciences, Naryanana Health City, Bengaluru, Karnataka, India.
authors.forename: Mudassar
authors.initials: M
authors.lastname: Kharadi
authors.affiliation: Department of Internal Medicine, Naryanana Health City, Bengaluru, Karnataka, India.
authors.forename: Sreenath Vedula
authors.initials: SV
authors.lastname: Harsha
authors.affiliation: Department of Gastroenterology and Hepatology, Naryanana Health City, Bengaluru, Karnataka, India.
authors.forename: Gayathri
authors.initials: G
authors.lastname: Gopalakrishnan
authors.affiliation: Department of Radiology, Naryanana Health City, Bengaluru, Karnataka, India.
authors.forename: G A
authors.initials: GA
authors.lastname: Karthick
authors.affiliation: Department of Radiology, Naryanana Health City, Bengaluru, Karnataka, India.
authors.forename: Vimal
authors.initials: V
authors.lastname: Raj
authors.affiliation: Department of Endocrinology, Diabetes and Bariatric Medicine, Naryanana Health City, Bengaluru, Karnataka, India.
authors.forename: Subramanian
authors.initials: S
authors.lastname: Kannan
keywords: Amyloidosis; autonomic neuropathy; late gadolinium enhancement; transthyretin