Hello I am G RITEESH ROLL NO 56 final year mbbs student I was given this case of paraparesis The entire details of the case are given in link below. Please go through the link before reading how I came to the diagnosis https://srianugna.blogspot.com/2020/05/hello-everyone.html The points to be understood before going in to the diagnosis are: 1. His age 18 years 2.sex male 3.complaints. That is bilateral lower limb weakness 4.other complaints like Edema non pitting type 5.difficulty in squatting and getting back to his standing position 6. Difficulty in wearing chappals 7.abnormals findings in investigations are: CUE .albumins positive Pus cells 3to4 cells RFT:elevated urea, creatinine, Uris acid, phosphorus, Chloride HEMOGRAM: normocytic and normochromic with lecucocytosis