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非系统性血管炎性神经病

Nonsystemic vasculitic neuropathy.

作者信息

Murthy J M, Sundaram C, Meena A K

机构信息

Department of Neurology, Nizam's Institute of Medical Sciences, Hyderabad, India.

出版信息

J Assoc Physicians India. 1998 Feb;46(2):204-6.

Abstract

The clinical, electrophysiological and pathological features and prognosis of 9 patients with nonsystemic vasculitic neuropathy are described. Nonsystemic vasculitic neuropathy accounted for 3% of cases of biopsy proven cases of various neuropathies and formed 56% of vasculitic neuropathy. Both clinically and on electrophysiological testing, mononeuritis multiplex was the form of neuropathy in 5 patients and 3 had sensory neuropathy. All the patients had a necrotizing vasculitis on nerve biopsy. Axonal degeneration was seen in teased fibers in all the patients. Eight patients showed good functional recovery one was left with mild bilateral claw hands.

摘要

本文描述了9例非系统性血管炎性神经病患者的临床、电生理、病理特征及预后。非系统性血管炎性神经病占经活检证实的各类神经病病例的3%,占血管炎性神经病的56%。临床及电生理检查显示,5例患者为多灶性单神经病,3例为感觉神经病。所有患者神经活检均显示坏死性血管炎。所有患者的 teased 纤维均可见轴索变性。8例患者功能恢复良好,1例遗留轻度双侧爪形手。

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