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Vasculitic Neuropathy

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[Polyneuropathies in vasculitis and connective tissue diseases : Clinical manifestations and diagnostic recommendations].

B Schlotter-Weigel,

Vasculitic neuropathies result from inflammation of the vasa nervorum followed by ischemia and destruction of the peripheral nerve. The inflammation can be systemic or localized, i.e. non-systemic. Systemic vasculitis can be divided into primary and secondary forms. The latter is associated with, e.g. connective tissue diseases, infections, cancer or induced ... Read more >>

Internist (Berl) (Der Internist)
[2020, 61(3):261-269]

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[Polyneuropathy in older individuals].

W N Löscher, B Iglseder,

The peripheral nervous system is subject to changes during the aging process, e.g., deep tendon reflexes decrease, as proprioception does. In contrast, polyneuropathies have to be distinguished from age-associated changes as independent diseases with etiologies similar to those in younger ages. Incidence of polyneuropathies is reported about 118/100,000, the overall ... Read more >>

Internist (Berl) (Der Internist)
[2020, 61(3):254-260]

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Nonsystemic vasculitic neuropathy in a patient with IgG-monoclonal gammopathy of undetermined significance: A case report.

Ryuta Kinno, Yuyuko Osakabe, Seiya Takahashi, Shinji Kurokawa, Yoshiyuki Owan, Kenjiro Ono, Yasuhiko Baba,

RATIONALE:Monoclonal gammopathy of undetermined significance (MGUS) is a plasma cell proliferative disorder that consistently precedes multiple myeloma. Peripheral neuropathy in patients with IgG-MGUS tends to vary in clinical phenotype. We report a rare case of a patient with IgG-MGUS who had nonsystemic vasculitic neuropathy (NSVN). PATIENT CONCERNS:A 56-year-old Japanese woman ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(5):e19036]

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Cryoglobulinemic Vasculitis Masquerading as Bilateral Carpal Tunnel Syndrome.

Oyintayo Ajiboye, Ishaan Vohra, Bashar Attar, Vatsala Katiyar, Benjamin Mba,

Cryoglobulinemic vasculitis (CV) is a systemic inflammatory syndrome involving small- to medium-sized vessels. Almost half of hepatitis C-infected patients have detectable cryoglobulins levels, but only very few develop clinical manifestations. In this case report, we bring forth a diagnostic challenge of CV. A 52-year-old man with untreated hepatitis C (high viral ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6423]

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Diagnostic Value of Sural Nerve Biopsy: Retrospective Analysis of Clinical Cases From 1981 to 2017.

Valeria Prada, Sara Massucco, Consuelo Venturi, Alessandro Geroldi, Emilia Bellone, Paola Mandich, Michele Minuto, Emanuela Varaldo, Giovanni Mancardi, Marina Grandis, Angelo Schenone,

Nerve biopsy represents the conclusive step in the diagnostic work-up of peripheral neuropathies, and its diagnostic yield is still debated. The aim of this study is to consider the impact of nerve biopsy on reaching a useful diagnosis in different peripheral neuropathies and its changing over time. We retrospectively analyzed ... Read more >>

Front Neurol (Frontiers in Neurology)
[2019, 10:1218]

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Rare case of bilateral wrist and foot drop from SLE-related vasculitic polyneuropathy.

Soujanya Sodavarapu, Rajani Rudrangi, Jeffrey Hoffman,

Systemic lupus erythematosus (SLE) is a heterogeneous, chronic, inflammatory, autoimmune disease characterised by multiorgan involvement and the production of multiple autoantibodies. Neurological manifestations in SLE patients are frequently reported-the prevalence is 37%-90%. We present a unique case where the patient presented with bilateral wrist and foot drop for 4 days, which ... Read more >>

BMJ Case Rep (BMJ case reports)
[2020, 13(1):]

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Proteinase 3 (PR3)-antineutrophil cytoplasmic antibody (ANCA)-associated vasculitic neuropathy in diffuse cutaneous systemic sclerosis: a rare duo.

Yasser Radwan, Sarah Berini, Floranne Ernste, Ashima Makol,

Systemic sclerosis (SSc) is characterised by non-inflammatory vasculopathy, autoimmunity and widespread fibrosis. While the presence of antineutrophil cytoplasmic antibodies (ANCAs) has been reported in SSc, their association with ANCA-associated vasculitis is exceedingly rare. Myeloperoxidase ANCA is more common than proteinase-3 ANCA, and glomerulonephritis is the most common clinical presentation of ... Read more >>

BMJ Case Rep (BMJ case reports)
[2019, 12(11):]

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Vasculitic Neuropathies.

Nathaniel Beachy, Kelsey Satkowiak, Kelly Graham Gwathmey,

Vasculitic neuropathies are disorders that result from inflammation in the peripheral nerves' vascular supply, resulting in ischemic injury. These disorders may be a result of systemic inflammation or may be confined to the peripheral nervous system. Causative etiologies include primary systemic vasculitis, vasculitis secondary to other conditions such as primary ... Read more >>

Semin Neurol (Seminars in neurology)
[2019, 39(5):608-619]

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Update on classification, epidemiology, clinical phenotype and imaging of the nonsystemic vasculitic neuropathies.

Michael P Collins, P James B Dyck, Robert D M Hadden,

PURPOSE OF REVIEW:Single-organ vasculitis of the peripheral nervous system (PNS) is often designated nonsystemic vasculitic neuropathy (NSVN). Several variants or subtypes have been distinguished, including migratory sensory neuropathy, postsurgical inflammatory neuropathy, diabetic radiculoplexus neuropathies, skin-nerve vasculitides, and, arguably, neuralgic amyotrophy. NSVN often presents as nondiabetic lumbosacral radiculoplexus neuropathy (LRPN). This ... Read more >>

Curr. Opin. Neurol. (Current opinion in neurology)
[2019, 32(5):684-695]

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ANCA-associated vasculitic neuropathy during treatment with ipilimumab.

Michelle Villarreal-Compagny, Pablo Iglesias, Javier Marco-Hernández, José C Milisenda, Jordi Casanova-Molla, José Hernández-Rodríguez, Susana Puig, Cristina Carrera, Sergio Prieto-González,

Rheumatology (Oxford) (Rheumatology (Oxford, England))
[2020, 59(1):251-252]

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Peripheral neuropathy in antineutrophil cytoplasmic antibody-associated vasculitides: Insights from the DCVAS study.

Antje Bischof, Veronika K Jaeger, Robert D M Hadden, Raashid A Luqmani, Anne-Katrin Pröbstel, Peter A Merkel, Ravi Suppiah, Anthea Craven, Michael P Collins, Thomas Daikeler,

OBJECTIVE:Reported prevalence of vasculitic neuropathy (VN) in antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is highly variable, and associations with other organ manifestations have not been studied systematically while accounting for diagnostic certainty of VN. METHODS:Data of all patients with AAV within the Diagnostic and Classification criteria for primary systemic VASculitis ... Read more >>

Neurol Neuroimmunol Neuroinflamm (Neurology(R) neuroimmunology & neuroinflammation)
[2019, 6(6):]

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Vasculitic neuropathy associated with Rheumatoid Arthritis, a case report.

Sunita Upreti, Marwa Oudah, Howard Hauptman, Hmu Minn,

Rheumatoid vasculitis which affects small-to-medium-sized vessels is a rare and late complication of rheumatoid arthritis. It is defined histologically as immune complex deposition in venules, capillaries and arterioles.1 Vasculitis in the vasa nervorum leads to infarction of peripheral nerves which leads to neuropathy. We present a case of mononeuritis multiplex ... Read more >>

J Community Hosp Intern Med Perspect (Journal of community hospital internal medicine perspectives)
[2019, 9(5):430-432]

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5. All That glitters is not gold.

Ashley Coope, Sabrina Juman, Sanjeet Kamath,

AbstractIntroductionInflammatory muscle disease is a rare but well-recognised manifestation of systemic vasculitis. It can present as focal myositis or symmetrical proximal muscle involvement seen in polymyositis and dermatomyositis. Investigative findings in inflammatory myositis include raised creatine kinase, abnormal electromyography and muscle biopsy. MR scans can identify muscle abnormality, oedema, fibrosis ... Read more >>

Rheumatol Adv Pract (Rheumatology advances in practice)
[2019, 3(Suppl 1):]

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Sural nerve biopsy in peripheral neuropathies: 30-year experience from a single center.

Marco Luigetti, Andrea Di Paolantonio, Giulia Bisogni, Angela Romano, Amelia Conte, Francesco Barbato, Alessandra Del Grande, Francesca Madia, Paolo Maria Rossini, Liverana Lauretti, Mario Sabatelli,

INTRODUCTION:Nerve biopsy has been widely used to investigate patients with peripheral neuropathy, and in many centers, it is still a useful diagnostic tool in this setting. In this study, we reviewed the histopathological spectrum of the nerve biopsies performed in our center in a 30-year period and we analyzed their ... Read more >>

Neurol. Sci. (Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology)
[2020, 41(2):341-346]

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Immune-Mediated Peripheral Neuropathy in Patients with Diffuse Panbronchiolitis.

You Ri Kang, Tai Seung Nam, Kyung Hwa Lee, Shina Kim, Hyeon Joong Park, Seung Jin Lee, Seung Han Lee, Byeong C Kim,

J Clin Neurol (Journal of clinical neurology (Seoul, Korea))
[2020, 16(1):166-168]

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[Giant cell arteritis: Ischemic complications].

Laurent Sailler, Kim Paricaud,

GCA ischemic complications occur generally in patients with a yet undiagnosed or uncontrolled disease. When disease control is fair, ischemic complications may be due mostly to atheromatosis. Ophtalmic complications are most frequent and are dominated by anterior ischemic optic neuropathy. Vasculitic strokes occur essentially in the vertebrobasilar arterial territory. Overt ... Read more >>

Presse Med (Presse medicale (Paris, France : 1983))
[2019, 48(9):948-955]

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A Rare Case of Ixazomib-Induced Cutaneous Necrotizing Vasculitis in a Patient with Relapsed Myeloma.

Heather Katz, Mina Shenouda, Deena Dahshan, George Sonnier, Yehuda Lebowicz,

Ixazomib is the only oral proteasome inhibitor used in relapsed/refractory myeloma. Cutaneous side effects due to ixazomib have been documented in the literature; however, cutaneous necrotizing vasculitis is extremely rare. We describe a case of a 74-year-old man with relapsed multiple myeloma who was started on ixazomib, lenalidomide, and dexamethasone. ... Read more >>

Case Rep Hematol (Case reports in hematology)
[2019, 2019:6061484]

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Phenotypes of Late-Onset Transthyretin Amyloid Neuropathy: A Diagnostic Challenge.

Saša A Živković, Diana Mnatsakanova, David Lacomis,

Hereditary transthyretin amyloidosis (hATTR) is a rare cause of severe neuropathy, typically with progressive sensorimotor and autonomic manifestations. The clinical course is marked by progressive worsening with typical survival of 7-11 years following the onset of symptoms. The phenotype may resemble other types of neuropathy, and dysautonomia may be absent ... Read more >>

J Clin Neuromuscul Dis (Journal of clinical neuromuscular disease)
[2019, 21(1):1-6]

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Microscopic polyangiitis: an incidental finding in a patient with stroke.

Abubakar Tauseef, Muhammad Sohaib Asghar, Mariam Amir, Maryam Zafar, Ayesha Anum, Haris Alvi, Mustafa Dawood, Uzma Rasheed, Mohammed Akram, Nisar Ahmed,

Microscopic polyangiitis (MPA) is a primary systemic vasculitis characterized by inflammation of small-sized vessels associated with the presence of anti-neutrophilic cytoplasmic antibodies. We report a case of a 39-year-old female diagnosed with microscopic polyangiitis as an incidental finding who presented with signs and symptoms of a stroke at a young ... Read more >>

J Community Hosp Intern Med Perspect (Journal of community hospital internal medicine perspectives)
[2020, 10(1):50-54]

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Vasculitic Neuropathy: A Retrospective Analysis of Nerve Biopsies and Clinical Features from a Single Tertiary Care Center.

Monalisa Hui, A K Meena, Liza Rajasekhar, Yareeda Sireesha, Jabeen Afshan, Rukmini Mridula, Rupam Borgohain, Megha S Uppin,

Objective:Vasculitic neuropathy can be either restricted to the peripheral nerves or associated with systemic involvement of other organs. The objective of this study was to analyze the nerve biopsies reported as "vasculitic neuropathy" with clinical features. Materials and Methods:All cases diagnosed with vasculitic neuropathy were retrospectively analyzed and categorized as ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2019, 22(2):180-186]

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Multiple Neurologic Deficits and Cognitive Decline in a Young Woman.

Arunmozhimaran Elavarasi, Jacob George, Mehar Chand Sharma, Kalpana Kumari, Ajay Garg, Awadh Kishor Pandit, Abhishek Satapathy, Vinay Goyal,

We present the clinicopathologic conference of a 34-year-old lady with history of facial palsy 14 years ago who developed new deficits of mononeuritis multiplex, maculopapular rash, pancytopenia, splenomegaly, lung involvement and cognitive decline rapidly over three years. Investigations revealed pancytopenia, reversal of albumin globulin ratio, mediastinal adenopathy, ANA positivity, low ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2019, 22(4):506-512]

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Demyelinating Neuropathy Due to Intravascular Large B-cell Lymphoma.

Yuki Fukami, Haruki Koike, Masahiro Iijima, Junichirou Hagita, Hisayoshi Niwa, Ryoji Nishi, Yuichi Kawagashira, Masahisa Katsuno,

We herein report the case of a 67-year-old man who presented with the acute onset of limb weakness. Brain magnetic resonance imaging revealed multiple abnormal-signal-intensity lesions. Steroids were administered, and the patient initially responded. Nerve conduction testing findings were consistent with demyelinating polyneuropathy. A sural nerve biopsy specimen revealed fascicles ... Read more >>

Intern. Med. (Internal medicine (Tokyo, Japan))
[2020, 59(3):435-438]

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Resveratrol alleviates nuclear factor-κB-mediated neuroinflammation in vasculitic peripheral neuropathy induced by ischaemia-reperfusion via suppressing endoplasmic reticulum stress.

Po-Ting Pan, Han-Yu Lin, Ching-Wei Chuang, Po-Kai Wang, Hung-Chieh Wan, Ming-Cheng Lee, Ming-Chang Kao,

Vasculitic peripheral neuropathy (VPN) arises from an inflammatory obstruction in the blood vessels supplying peripheral nerves and subsequent ischaemic insults, which exhibits the clinical features of neuropathic pain and impaired peripheral nerve function. VPN induced by ischaemia-reperfusion (IR) has been reported to involve nuclear factor-κB (NF-κB)-mediated neuroinflammation. Recent studies have ... Read more >>

Clin. Exp. Pharmacol. Physiol. (Clinical and experimental pharmacology & physiology)
[2019, 46(8):770-779]

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4-Phenylbutyric acid protects against vasculitic peripheral neuropathy induced by ischaemia-reperfusion through attenuating endoplasmic reticulum stress.

Cay-Huyen Chen, Ping-Chen Shih, Han-Yu Lin, Po-Kai Wang, Po-Ting Pan, Ching-Wei Chuang, Ming-Chang Kao,

Vasculitic peripheral neuropathy (VPN) is characterized by acute-to-subacute onset of painful sensory and motor disturbances that result from inflammatory obliteration of nerve blood vessels and subsequent ischaemic injury. Endoplasmic reticulum (ER) stress has been implicated in the pathogenesis of various peripheral neuropathies, and 4-phenylbutyric acid (4-PBA) is a chemical chaperone ... Read more >>

Inflammopharmacology (Inflammopharmacology)
[2019, 27(4):713-722]

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9. Hypomyopathic dermatomyositis complicated by mannose-binding lectin deficiency.

Mariam Al-Attar, Rachel Gorodkin,

AbstractIntroductionConnective tissue diseases can present a diagnostic odyssey both for the patient and the practitioner. Here, the clinical journey of a patient with hypomyopathic dermatomyositis and mannose-binding lectin deficiency is described, demonstrating the interaction between complex co-morbidities and highlighting the importance of recognising different phenotypes of dermatomyositis. The case addresses ... Read more >>

Rheumatol Adv Pract (Rheumatology advances in practice)
[2019, 3(Suppl 1):]

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