患者女，17岁。因四肢无力6天于1998年9月6日入院。发病前半月四肢起皮疹，粟粒样，伴有痒感，抓破后融合成片。无发热史。当地医院治疗后皮疹消退，留有色素沉着。下肢无力进行性加重，从远端向近端发展，直至不能行走，伴有双小腿疼痛，手脚发麻，无大小便障碍。门诊拟格林巴 Female patient, 17 years old. Six days due to weakness in the September 6, 1998 admission. The first half of the onset of rash from the limbs, miliary-like, with itching, scratching after the fusion into pieces. No history of fever. After the treatment of local hospital rash subsided, leaving pigmentation. Lower extremity weakness progressive increase from distal to proximal development, until can not walk, accompanied by double leg pain, tingling hands and feet, no urine disorder. Outpatient simulation Green Bay