Chronic dysimmune neuropathies: Beyond chronic demyelinating polyradiculoneuropathy

被引:6
作者
Khadilkar, Satish V.
Deshmukh, Shrikant S.
Dhonde, Pramod D.
机构
[1] Grant Med Coll, Dept Neurol, Mumbai, Maharashtra, India
[2] Sir JJ Grp Hosp, Mumbai, Maharashtra, India
关键词
Multifocal motor neuropathy; multifocal acquired demyelinating sensory and motor; chronic inflammatory demyelinating neuropathy; distal acquired demyelinating predominately sensory; MULTIFOCAL MOTOR NEUROPATHY; CONDUCTION BLOCK; LONG-TERM; ANTIGANGLIOSIDE ANTIBODIES; MONOCLONAL GAMMOPATHY; GANGLIOSIDES GM1; IGM; STIMULATION; SPECIFICITY; PERSISTENT;
D O I
10.4103/0972-2327.82789
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The spectrum of chronic dysimmune neuropathies has widened well beyond chronic demyelinating polyradiculoneuropathy (CIDP). Pure motor (multifocal motor neuropathy), sensorimotor with asymmetrical involvement (multifocal acquired demylinating sensory and motor neuropathy), exclusively distal sensory (distal acquired demyelinating sensory neuropathy) and very proximal sensory (chronic immune sensory polyradiculopathy) constitute the variants of CIDP. Correct diagnosis of these entities is of importance in terms of initiation of appropriate therapy as well as prognostication of these patients. The rates of detection of immune-mediated neuropathies with monoclonal cell proliferation (monoclonal gammopathy of unknown significance, multiple myeloma, etc.) have been facilitated as better diagnostic tools such as serum immunofixation electrophoresis are being used more often. Immune neuropathies associated with malignancies and systemic vasculitic disorders are being defined further and treated early with better understanding of the disease processes. As this field of dysimmune neuropathies will evolve in the future, some of the curious aspects of the clinical presentations and response patterns to different immunosuppressants or immunomodulators will be further elucidated. This review also discusses representative case studies.
引用
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页码:81 / 92
页数:12
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