A RARE CASE OF ACUTE INFLAMMATORY DEMYELINATING POLYRADICULONEUROPATHYAS FIRST PRESENTATION IN A HIV INFECTED CHILD - A CASE REPORT

Acute inflammatory demyelinating polyradiculoneuropathies (AIDP) occur with increased frequency in people with HIV,particularly in the early stages of infection, and probably represent an autoimmune phenomena. The clinical and electrophysiological features, as well as the response to immunomodulating therapies are indistinguishable from those seen in non-HIV associated AIDP. However the classic finding of albuminocytological dissociation , where cerebrospinal fluid (CSF) protein is elevated but the CSF is acellular, may be absent, because typically in HIV-associated AIDP, there is a lymphocytic pleocytosis in addition to elevated CSF protein.