Absent Deep Tendon Reflexes in Pediatrics — 6yo Child | Pediatric Emergency | SMLE Q#17369

SMLE Question #17369

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A 6-year-old girl has 10 days of progressive ascending limb weakness and gait instability. She also has dysphagia and facial weakness. Three weeks earlier, she had viral gastroenteritis. Examination shows symmetric flaccid weakness with absent deep tendon reflexes. Cerebrospinal fluid shows elevated protein with a normal cell count, and nerve conduction studies show a demyelinating polyneuropathy. What is the most appropriate disease-modifying treatment?

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