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--- Original Message Follows ---

Date:         Sun, 4 Aug 2002 13:03:19 -0400
From:   WILL JOHNSTON <[log in to unmask]>
Subject:      ALTERNATE DIAGNOSIS? ANY IDEAS?
To:     [log in to unmask]

There is a young onset PD man in our support group who has had PD for about
10 years for sure, probably longer (current age 51).

He has been taking Sinemet for years, and it has usually been effective. He
has taken various agonists in past years, and they produced undesired
side-effects. He had a palidotomy about 5 years ago which produced favorable
results for about 3 1/2 years.

About a year ago he took a considerable turn for the worse:

He was also taking Tasmar [and getting liver function tests from time to
time which were uniformly negative for problems] when,
over a period of about two weeks he gradually lost his ability to stand
alone or  walk. The fingers on one hand curled  in, and the fingers will not
extend out even with considerable force.  The changes seemed much too fast
for PD, but much too slow for a stroke. He is still mentally sharp.  When I
helped take him for an MRI [no problems seen in MRI pictures], his arms and
hands were yellow. [For those who can remember when oleomargerine was white
and came with a yellow-orange dye packet: The color was just like the dye
when the margerine was partly pale yellow and partly orangey - the orangey
color.] I immediately thought juandice, but his eyes were very clear and the
eyeballs were very white. {This symptom disappeared  in a very few days.}.

There are deer and ticks in his yard.  I thought Lyme disease. Lyme disease
is seen frequently in our area.  I understand he was tested for Lyme and
test was negative.  The MD's are stumped?  Any ideas?

Will J.

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