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Fits, feet and HIV: lessons from a case of coexisting epilepsy and neuropathy in a patient with perinatally acquired HIV-1 infection
  1. Nell Freeman-Romilly1,
  2. Leena Mewasingh2,
  3. Annette Coomer2,
  4. Caroline Foster2
  1. 1Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  2. 2St. Mary’s Hospital, London, UK
  1. Correspondence to Dr Nell Freeman-Romilly, nellfreemanromilly{at}


An 18-year-old black African man with well-controlled perinatally acquired HIV-1 was diagnosed in late adolescence with the unrelated diagnoses of Charcot-Marie-Tooth type 1A (CMT1A), epilepsy due to polymicrogyria and subsequently developed severe depression. The CMT1A diagnosis occurred after transfer of care from a local paediatric HIV service to a tertiary paediatric referral centre and was precipitated by recognition of a history and neurological signs not typically associated with perinatal HIV. The case resulted in the establishment of a quarterly combined paediatric HIV and paediatric neurology multidisciplinary team clinic to assess children and adolescents living with HIV with neurological symptoms.

  • Hiv / Aids
  • neuromuscular disease
  • peripheral nerve disease
  • child and adolescent psychiatry (paediatrics)
  • neurology

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  • Contributors NF-R, LM and CF contributed to the planning, literature review, conduct and reporting of the work described in the article. AC reviewed and commented on the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.