McCombe P A, Klestov A C, Tannenberg A E, Chalk J B, Pender M P
Department of Neurology, Royal Brisbane Hospital.
Clin Exp Neurol. 1991;28:146-53.
We describe 3 patients with severe sensorimotor neuropathy complicating rheumatoid arthritis. Two patients had evidence of vasculitis and an axonal neuropathy. These patients were unusual in that the neuropathy occurred early in the course of rheumatoid arthritis. The third patient had a demyelinating neuropathy with a high cerebrospinal fluid protein level, and is a probable example of a chronic inflammatory neuropathy occurring in rheumatoid arthritis. All patients improved or were stabilized with corticosteroid therapy.
我们描述了3例类风湿关节炎并发严重感觉运动性神经病变的患者。2例患者有血管炎和轴索性神经病变的证据。这些患者不同寻常之处在于神经病变在类风湿关节炎病程早期出现。第3例患者有脱髓鞘性神经病变,脑脊液蛋白水平升高,可能是类风湿关节炎中发生的慢性炎症性神经病变的一个例子。所有患者经皮质类固醇治疗后病情改善或稳定。