I am having muscle weakness from childhood. What to do further?

Question

Hi doctor,

I am 21 years old. I have muscle weakness in both arms and legs since childhood. I cannot climb stairs without support and I feel tired most of the day. I cannot stand for long and also cannot run or walk. My legs and feet always get numb. I have decreased sensory sensations in both feet. A few months back, I was diagnosed with hypothyroidism and vitiligo. I visited a doctor last month. My electromyography (EMG) and nerve conduction study shows symmetrical sensory motor demyelinating polyneuropathy with clinical diagnosis of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). Creatine phosphokinase (CPK) is 227 (reference range 24-195 U/L). I am on Prednisolone 45 mg, Levothyroxine 100 mcg and multivitamins for the past 17 days. Please guide me about my disease, prognosis and any rehabilitation that might help.

Answer 1

Hi,

Welcome to icliniq.com. I have read your question with care and understand your concerns. My opinion is as below: You are having both myopathy and neuropathy. You need to get treatment for both. Hypothyroidism and vitiligo are may be signs of abnormal functioning of the pituitary gland. You have to do a complete pituitary hormone profile along with thyroid profile. Please also do a diabetic profile and lipid profile. The further course of action can be decided based on the reports. The investigation to be done are 1. Complete pituitary hormone profile along with thyroid profile. 2. Diabetic profile. 3. Lipid profile.