𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Paraneoplastic vasculitic neuropathy: A treatable neuropathy

✍ Scribed by Dr.; MD Shin J. Oh; MD Robert Slaughter; MD Lindy Harrell


Book ID
102536277
Publisher
John Wiley and Sons
Year
1991
Tongue
English
Weight
499 KB
Volume
14
Category
Article
ISSN
0148-639X

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✦ Synopsis


Paraneoplastic vasculitic neuropathy has been recently described. We report the first case of this disorder which responded both clinically and electrophysiologically to cyclophosphamide treatment. A 54-year-old woman with a history of metastatic endometrial carcinoma in remission had asymmetrical polyneuropathy, electrophysiological findings consistent with a diffuse axonal neuropathy, high sedimentation rate and spinal fluid protein, and microvasculitis with axonal degeneration on nerve biopsy. The patient was treated with 150 mg of cyclophosphamide daily with gradual clinical and electrophysiological improvement.


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