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Of course, treatable conditions such as immune-mediated ataxias (gluten-related ataxia, anti-GAD-antibodies-associated ataxia, systemic lupus erythematosus, Sjgrens syndrome) [ 62 , 63 ], or metal storage disorders such as Wilsons disease [ 64 ], which may have an insidious onset, should be ruled out in the early stages of the diagnostic process