A patient with celiac sprue developed clinical and electrophysiological features suggesting mononeuropathy multiplex, with evidence of perivascular and perineural lymphocytic infiltration on muscle biopsy. Her gluten enteropathy was well controlled with dietary gluten restrictions, and serum levels
Mononeuropathy multiplex in association with livedoid vasculitis
β Scribed by Cory Toth; Martin Trotter; Arthur Clark; Douglas Zochodne
- Publisher
- John Wiley and Sons
- Year
- 2003
- Tongue
- English
- Weight
- 220 KB
- Volume
- 28
- Category
- Article
- ISSN
- 0148-639X
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β¦ Synopsis
Abstract
Livedoid vasculitis is a chronic dermatological disorder associated with petechiae and recurrent, unusually shaped ulcers that heal to form hyperpigmentated areas and atrophie blanche. This condition is more correctly termed a vasculopathy, rather than a vascultis, and is often associated with an underlying hypercoagulable disorder. We report a patient with livedoid vasculitis and mononeuropathy multiplex. We propose that peripheral nervous system involvement arises from multifocal areas of ischemia due to fibrin and thrombin deposition within both the wall and lumen of vasa nervorum. Muscle Nerve 28: 634β639, 2003
π SIMILAR VOLUMES
Immunologic syndromes are associated with hepatitis B viral (HBV) infection. However, mononeuropathy multiplex (MM), a syndrome in which immune factors may play a role, is rare in acute HBV infection. Few cases of MM associated with HBV infection have been reported. We report a case of acute HBV inf