Key words: Guillain-Barré syndrome, Back and leg pain, Children, Diagnosis
The paper reports the case of a 4-year-old girl who had been suffering from progressive
pain in her legs and back and impossibility of walking for 10 days. The presence of a slight
hyposthenia but with absence of patellar reflexes was observed. The diagnosis was
that of Guillain-Barré syndrome (GBS). GBS should be considered in the differential diagnosis
of initial clinical pictures characterised by significant back or leg pain with gait refusal.
In children GBS should not be thought of at the onset only in the presence of
profound hyposthenia, especially in preschool age. Paediatricians should consider GBS in
the differential diagnosis in front of a child who has pain in the lower limbs and hypo-areflexia
(although initially not present in all cases) to avoid delays in diagnosis and immediate
therapeutic management (immunoglobulin) and physiotherapy.
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