Skin Rash as Early Presentation of Guillain–Barré syndrome

We report an unusual case of Guillain-Barre syndrome in a 36-year old gentleman, diagnosed based on clinical presentation, CSF analysis and nerve study tests findings, who presented to our department for elective cystoscopy and discovered at the day of surgery to have macular skin rash over the trunk and upper limbs, surgery was postponed. Then and after 12 hours he started to develop the classical manifestations of Guillain-Barre syndrome. Asymptomatic skin rash should carefully be investigated as it could be an early presentation of a serious condition.