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干燥综合征中的运动优势性神经病变:两例报告。

Motor dominant neuropathy in Sjögren's syndrome: report of two cases.

作者信息

Mochizuki Hitoshi, Kamakura Keiko, Masaki Toshihiro, Hirata Akira, Nakamura Ryohji, Motoyoshi Kazuo

机构信息

Third Department of Internal Medicine, National Defense Medical College, Tokorozawa, Saitama.

出版信息

Intern Med. 2002 Feb;41(2):142-6. doi: 10.2169/internalmedicine.41.142.

Abstract

Most of the peripheral neuropathies in Sjögren's syndrome (SS) are sensory- or autonomic-dominant. In this report, we present two cases of a rare type of neuropathy, motor dominant neuropathy, in SS. One showed signs similar to those of Guillain-Barré syndrome, and the other showed signs characteristic of chronic inflammatory demyelinating polyradiculoneuropathy. These patients received i.v. immunoglobulin therapy. To our knowledge, this is the first report indicating that i.v. immunoglobulin has beneficial effects on motor dominant neuropathy in SS.

摘要

干燥综合征(SS)中的大多数周围神经病变以感觉或自主神经为主。在本报告中,我们呈现了两例SS中罕见类型的神经病变,即运动为主型神经病变。一例表现出与吉兰-巴雷综合征相似的症状,另一例表现出慢性炎症性脱髓鞘性多发性神经根神经病的特征性症状。这些患者接受了静脉注射免疫球蛋白治疗。据我们所知,这是第一份表明静脉注射免疫球蛋白对SS中的运动为主型神经病变有有益作用的报告。

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