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Correspondence |

Miller-Fisher Variant of Guillain-Barré Syndrome FREE TO VIEW

Weekitt Kittisupamongkol, MD
Author and Funding Information

Hua Chiew Hospital Bangkok, Thailand

Correspondence to: Weekitt Kittisupamongkol, MD, Hua Chiew Hospital, Bangkok 10100, Thailand; e-mail: weekitti@gmail.com


The author has reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(1):325. doi:10.1378/chest.08-2653
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To the Editor:

I read with interest the recent article in CHEST (October 2008) by Pujar and Spinello.1 The authors concluded that glove and stocking paresthesias are key points in the Miller-Fisher variant of Guillain-Barré syndrome. I disagree. Apart from the clinical triad (ataxia, areflexia, and opthalmoplegia), the common neurologic involvements are pupillary abnormalities, blepharoptosis, and facial palsy. Sensory loss is unusual in such a syndrome.2

Pujar T, Spinello IM. A 38-year-old woman with heroin addiction, ptosis, respiratory failure, and proximal myopathy. Chest. 2008;134:867-870. [PubMed] [CrossRef]
 
Mori M, Kuwabara S, Fukutake T, et al. Clinical features and prognosis of Miller Fisher syndrome. Neurology. 2001;56:1104-1106. [PubMed]
 

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Pujar T, Spinello IM. A 38-year-old woman with heroin addiction, ptosis, respiratory failure, and proximal myopathy. Chest. 2008;134:867-870. [PubMed] [CrossRef]
 
Mori M, Kuwabara S, Fukutake T, et al. Clinical features and prognosis of Miller Fisher syndrome. Neurology. 2001;56:1104-1106. [PubMed]
 
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