A 35-year-old man experienced severe sensory loss, pseudoathetosis, and areflexia during recovery from a severe viral illness. Sensory nerve action potentials were absent, motor conduction velocities were mildly slowed, and blink reflexes were normal. Magnetic resonance imaging (MRI) revealed abnorm
Leukocytoclastic-vasculitic neuropathy associated with chronic Epstein–Barr virus infection
✍ Scribed by Kazuaki Kanai; Satoshi Kuwabara; Masahiro Mori; Kimihito Arai; Takako Yamamoto; Takamichi Hattori
- Publisher
- John Wiley and Sons
- Year
- 2002
- Tongue
- English
- Weight
- 128 KB
- Volume
- 27
- Category
- Article
- ISSN
- 0148-639X
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✦ Synopsis
Abstract
We report a patient with leukocytoclastic‐vasculitic neuropathy associated with chronic Epstein–Barr virus (EBV) infection. A 55‐year‐old man had been suffering from chronic progressive axonal polyneuropathy and skin erythema for 3 years. A skin biopsy showed capillary vasculitis with clustered leukocyte fragments. Findings of serum assays, a polymerase chain reaction for EBV‐DNA, and in situ hybridization indicated chronic EBV infection. Immunosuppressive treatment resulted in the gradual lessening of his general and neurologic symptoms. Muscle Nerve 27:113–116, 2003
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