PARANEOPLASTIC INTESTINAL PSEUDOOBSTRUCTION ASSOCIATED WITH HIGH TITERS OF HU AUTOANTIBODIES

被引:42
作者
CONDOM, E
VIDAL, A
ROTA, R
GRAUS, F
DALMAU, J
FERRER, I
机构
[1] HOSP PRINCIPES ESPANA,SERV ANAT PATOL,UNIDAD NEUROPATOL,E-08907 LHOSPITALET LLOBR,SPAIN
[2] HOSP PRINCIPES ESPANA,SERV GASTROENTEROL,LHOSPITALET LLOBR,SPAIN
[3] HOSP CLIN BARCELONA,SERV NEUROL,E-08036 BARCELONA,SPAIN
[4] MEM SLOAN KETTERING CANC CTR,DEPT NEUROL,NEW YORK,NY 10021
关键词
SMALL-CELL LUNG CANCER; PARANEOPLASTIC ENCEPHALOMYELITIS/SENSORY NEURONOPATHY; PSEUDOOBSTRUCTION; VISCERAL NEURONOPATHY; HU ANTIGEN/ANTIBODY;
D O I
10.1007/BF01606543
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
Anti-Hu autoantibodies in high titres, as revealed with immunocytochemistry and Western blot, were present in a patient with gastrointestinal pseudoobstruction and small-cell lung cancer (SCLC) bearing the Hu antigen. Marked neuron and nerve fibre loss were found in the myenteric plexus at postmortem. These findings show that neuronopathic Hu-associated gastrointestinal pseudo-obstruction can occur as the only paraneoplastic neurological symptom in patients with SCLC.
引用
收藏
页码:507 / 511
页数:5
相关论文
共 14 条
[1]  
AHMED MN, 1975, CMA J, V6, P410
[2]  
ALTERMATT HJ, 1991, LAB INVEST, V65, P412
[3]   GASTROINTESTINAL MOTILITY DISTURBANCES IN PATIENTS WITH ORTHOSTATIC HYPOTENSION [J].
CAMILLERI, M ;
MALAGELADA, JR ;
STANGHELLINI, V ;
FEALEY, RD ;
SHEPS, SG .
GASTROENTEROLOGY, 1985, 88 (06) :1852-1859
[4]   PARA-NEOPLASTIC VISCERAL NEUROPATHY AS A CAUSE OF SEVERE GASTROINTESTINAL MOTOR DYSFUNCTION [J].
CHINN, JS ;
SCHUFFLER, MD .
GASTROENTEROLOGY, 1988, 95 (05) :1279-1286
[5]   ANTI-HU-ASSOCIATED PARANEOPLASTIC ENCEPHALOMYELITIS SENSORY NEURONOPATHY - A CLINICAL-STUDY OF 71 PATIENTS [J].
DALMAU, J ;
GRAUS, F ;
ROSENBLUM, MK ;
POSNER, JB .
MEDICINE, 1992, 71 (02) :59-72
[6]   DETECTION OF THE ANTI-HU ANTIBODY IN THE SERUM OF PATIENTS WITH SMALL-CELL LUNG-CANCER - A QUANTITATIVE WESTERN-BLOT-ANALYSIS [J].
DALMAU, J ;
FURNEAUX, HM ;
GRALLA, RJ ;
KRIS, MG ;
POSNER, JB .
ANNALS OF NEUROLOGY, 1990, 27 (05) :544-552
[7]  
DALMAU J, 1992, AM J PATHOL, V141, P881
[8]   REGRESSION OF SMALL-CELL LUNG-CARCINOMA IN PATIENTS WITH PARANEOPLASTIC NEURONAL ANTIBODIES [J].
DARNELL, RB ;
DEANGELIS, LM .
LANCET, 1993, 341 (8836) :21-22
[9]   ENTERIC NEURONAL AUTOANTIBODIES IN PSEUDOOBSTRUCTION WITH SMALL-CELL LUNG-CARCINOMA [J].
GRAUS, F ;
DALMAU, J .
GASTROENTEROLOGY, 1991, 101 (04) :1142-1143
[10]   IMMUNOHISTOCHEMICAL ANALYSIS OF THE IMMUNE-REACTION IN THE NERVOUS-SYSTEM IN PARANEOPLASTIC ENCEPHALOMYELITIS [J].
GRAUS, F ;
RIBALTA, T ;
CAMPO, E ;
MONFORTE, R ;
URBANO, A ;
ROZMAN, C .
NEUROLOGY, 1990, 40 (02) :219-222