Repeated Acute Exacerbations of Chronic Inflammatory Demyelinating Polyradiculoneuropathy Accompanied by Pain and Swelling in Distal Extremities.
Intern Med
; 63(5): 733-737, 2024 Mar 01.
Article
em En
| MEDLINE
| ID: mdl-37468246
ABSTRACT
An 81-year-old man experienced acute progression of weakness in the extremities accompanied by a fever, tenderness, and swelling in distal parts of the extremities. He had flaccid tetraparesis with fasciculations and general hyporeflexia. Nerve conduction studies indicated demyelinating sensorimotor neuropathy. A cerebrospinal fluid examination revealed elevated proteins without pleocytosis. Immunological treatments were effective, but his symptoms exhibited repeated relapse and remission phases. He was diagnosed with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) with an acute onset. The highlight of this case is pain with inflammatory reaction recognized as red flags of CIDP, with the clinical course and electrophysiological findings compatible with CIDP.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Polirradiculoneuropatia
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Polirradiculoneuropatia Desmielinizante Inflamatória Crônica
Limite:
Aged80
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Humans
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Male
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article