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Multiple Sclerosis (MS) involves an immune mediated process in which an abnormal response of the body's immune system is directed against the central nervous system (CNS). Multiple sclerosis is a very variable condition and the symptoms depend on which areas of the CNS have been affected. There is no set pattern for MS and everyone with MS has a different set of symptoms, which vary from time to time and can change in severity and duration, even in the same person. Hence diagnosing MS at the earliest is very essential. Therefore we report an unusual case of a 30-yearold female with complaints of headache, vomiting & hiccups since 2 months followed by weakness of bilateral lower limbs and later upper limbs which eventually were diagnosed as Multiple Sclerosis. We are reporting this case because of the vague clinical presentation of Multiple Sclerosis. Aim: To recognize the symptoms of MS at the earliest and start treatment early.

Addison disease is a rare but potentially fatal disorder of the adrenal glands. Its manifestations are often confused with many common disorders, and a high index of suspicion is required for the diagnosis. In this case we observed that initially the manifestation were confused with melanosis secondary to consumption of Ayurvedic medication and pangastritis, but a high level of suspicion helped to reach the diagnosis of Addison disease.

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