A Severe Form of M - protein Negative Distal Acquired Demyelinating Symmetric Neuropathy.
Neurol India
; 67(6): 1532-1535, 2019.
Article
in En
| MEDLINE
| ID: mdl-31857554
ABSTRACT
Distal acquired demyelinating symmetric neuropathy (DADS) is a variant of chronic inflammatory demyelinating polyneuropathy (CIDP) characterized by symmetrical, distal, sensory or sensorimotor involvement. DADS with M-protein (DADS-M) is less responsive to immunotherapy compared to those without M-protein (DADS-I). We report a case of DADS-I with severe clinical presentation viz. early hand involvement with marked wasting, inexcitable peripheral nerves on neurophysiology and poor response to immunotherapy. Despite the unusual presentation, ancillary tests including cerebrospinal fluid analysis, nerve biopsy and nerve ultrasound were supportive of an inflammatory demyelinating polyneuropathy. This case demonstrated the heterogeneity of the disorder and expands the clinical spectrum of DADS neuropathy.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Immunoglobulin M
/
Polyradiculoneuropathy, Chronic Inflammatory Demyelinating
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Neurol India
Year:
2019
Document type:
Article
Affiliation country:
Malaysia