PT - JOURNAL ARTICLE AU - Sana Khan AU - Gnanamurthy Sivakumar AU - Stuart Currie AU - Jane Alty TI - Multiple system atrophy mimicked by multi-organ pathology AID - 10.1136/practneurol-2019-002233 DP - 2019 Apr 11 TA - Practical Neurology PG - practneurol-2019-002233 4099 - http://pn.bmj.com/content/early/2019/04/11/practneurol-2019-002233.short 4100 - http://pn.bmj.com/content/early/2019/04/11/practneurol-2019-002233.full AB - Both multiple system atrophy and Parkinson’s disease may present with parkinsonism and autonomic dysfunction. We describe a patient who initially met the diagnostic criteria for multiple system atrophy and had atypical features for Parkinson’s disease including blackouts and pyramidal signs. Ultimately, he was found to have three separate diagnoses rather than a single unifying one.