Ataxia-telangiectasia

A 20 -year-old schoolteacher presented to her GP with the recurrent dystonic movement of the left arm, loss of appetite and weight loss of 6 kilograms in the last three months.She started to feel unstable on her feet and had near fallen.She did not smoke or drink alcohol.Her past medical history was non-contributory.She was not on any regular medication including over counter medications.There was no significant family history.She traveled to India a year before.She spent six months on a mission and enjoyed food and drinks from the hotel.She was well with no symptoms during her trip.She was UpToDate with her immunization.