Acute Motor-dominant Polyneuropathy as Guillain-Barre Syndrome and Multiple Mononeuropathies in a Patient with Sjogren's Syndrome

被引：9

作者：

Tanaka, Kenichiro ^{[1
]}

Nakayasu, Hiroyuki ^{[1
]}

Suto, Yutaka ^{[1
]}

Takahashi, Shotaro ^{[1
]}

Konishi, Yoshihiro ^{[2
]}

Nishimura, Hirotake ^{[3
]}

Ueno, Rino ^{[4
]}

Kusunoki, Susumu ^{[4
]}

Nakashima, Kenji ^{[5
]}

机构：

[1] Tottori Prefectural Cent Hosp, Dept Neurol, Tottori, Tottori, Japan

[2] Tottori Med Ctr, Dept Clin Res, Tottori, Tottori, Japan

[3] Kawasaki Univ, Fac Med, Dept Pathol, Kawasaki, Kanagawa, Japan

[4] Kinki Univ, Fac Med, Dept Neurol, Higashiosaka, Osaka, Japan

[5] Tottori Univ, Fac Med, Dept Brain & Neurosci, Div Neurol, Tottori, Tottori, Japan

来源：

INTERNAL MEDICINE | 2016年 / 55卷 / 18期

关键词：

Sjogren's syndrome; Guillain-Barre syndrome; antiganglioside antibody; NEUROPATHY; MANIFESTATIONS; ANTIBODIES;

D O I：

10.2169/internalmedicine.55.6881

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A patient with xerostomia and xerophthalmia due to Sjogren's syndrome presented with acute motor-dominant polyneuropathy and multiple mononeuropathy with antiganglioside antibodies. Nerve conduction studies and a sural nerve biopsy revealed the neuropathy as a mixture of segmental demyelination and axonal degeneration. Positive results were obtained for several antiganglioside antibodies. Corticosteroid treatment proved effective. The neuropathy was considered to represent a mixture of polyneuropathy as Guillain-Barre syndrome and multiple mononeuropathy via Sjogren's syndrome. We speculate that Guillain-Barre syndrome occurred in the patient and Guillain-Barre syndrome itself activated multiple mononeuropathy via Sjogren's syndrome.

引用

页码：2717 / 2722

页数：6

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