Table 2

- Timeline of patient’s case.

DatesRelevant past medical history and interventions
2 years prior to presentationOnset of widespread pruritus and erythematous cutaneous lesions, primarily affecting lower extremities
DatesSummaries from initial and follow-up visitsDiagnostic testingInterventions
Month 0Initial presentation with widespread pruritus, erythematous cutaneous lesions, and articulatory inflammation

  • - Rheumatology, metabolism, and infection tests: No notable abnormalities

  • - Immunoglobulin G levels: 49.2 g/L (elevated)

  • - CSF analysis: No notable abnormalities

 
Month 6Development of paresthesia, tingling, and numbness  
Month 8Initial medical evaluation:

  • - Reduced sensory reactions in L3, L4, L5 dermatomes

  • - Lack of vibration and proprioception in lower limbs

  • - Absent reflexes

  • - Bilateral strength rating: -4/5 in lower limbs, 4/5 in upper limbs

Nerve conduction studies: Suggestive of combined demyelinating and axonal sensory-motor polyneuropathy 
Month 9Diagnosis of CIDP based on nerve conduction studies  
Month 10-11  Five consecutive IVIG treatments
Month 12Significant decline in condition Sixth IVIG treatment
Month 14 Sural nerve biopsy: Revealed lymph histiocytic infiltration and acid-fast bacilli
Skin biopsy: Showed mixed dermal inflammation with non-necrotizing granuloma and acid-fast bacilli		 
Month 15Diagnosis of leprosy confirmed  
CurrentSigns of improvement Ongoing antibiotic treatment