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To the Editor:
We read the article by Planté-Bordeneuve et al. with great interest.1 We reported a unique patient with sporadic TTR (Val30Met)- familial amyloid polyneuropathy (FAP)2 and have inquiries regarding the sporadic patients of Planté-Bordeneuve et al.1
Our patient, a 72-year-old man, developed dysesthesia and weakness in the feet at age 67. Two years later, severe muscle weakness and loss of sensation progressed rapidly in the four extremities. His family history showed no neurologic or cardiac disorders.
Neurologic examination showed muscle weakness (Medical Research Council 0–1) and profound atrophy in the hands and feet. Muscle stretch reflexes were absent in the four extremities. Dysarthria and dysphagia were found and marked atrophy and fasciculation were seen in the tongue. Pharyngeal reflexes were absent. There were no superficial and proprioceptive sensations …
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