RT Journal Article SR Electronic T1 Multiple system atrophy mimicked by multi-organ pathology JF Practical Neurology JO Pract Neurol FD BMJ Publishing Group Ltd SP 350 OP 351 DO 10.1136/practneurol-2019-002233 VO 19 IS 4 A1 Sana Khan A1 Gnanamurthy Sivakumar A1 Stuart Currie A1 Jane Alty YR 2019 UL http://pn.bmj.com/content/19/4/350.abstract 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.