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Rinsho Shinkeigaku ; 54(5): 413-6, 2014.
Artigo em Japonês | MEDLINE | ID: mdl-24943078

RESUMO

A 71-year-old woman developed advanced thermal hypoalgesia, bathyesthesia, and significant sensory ataxia 1 year ago. She also had difficulty maintaining a sitting posture. Patchy and reduced thermal nociception corresponding to a dermatome was found in her four extremities and trunk. On the basis of several tests, she was diagnosed with ataxic sensory neuronopathy due to dorsal root ganglionitis associated with Sjögren's syndrome. Generally, dorsal root ganglionitis associated with Sjögren's syndrome is refractory. After treatment with simple plasmapheresis, she was able to maintain a sitting posture. Finally, her symptoms stabilized after the inclusion of oral D-penicillamine to her treatment regimen. Although the clinical course was observed for about one year, we report this case because of its valuable finding, i.e., her symptoms improved after simple plasmapheresis and oral administration of D-penicillamine.


Assuntos
Ataxia/etiologia , Gânglios Espinais , Neurite (Inflamação)/complicações , Síndrome de Sjogren/complicações , Idoso , Ataxia/fisiopatologia , Ataxia/terapia , Feminino , Humanos , Neurite (Inflamação)/terapia , Pesquisa em Administração de Enfermagem , Penicilamina/administração & dosagem , Plasmaferese , Postura , Síndrome de Sjogren/terapia , Resultado do Tratamento
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