Bissay Véronique, Flamez Anja, Schmedding Eric, Ebinger Guy
Department of Neurology, University Hospital UZ-Brussel, Laarbeeklaan 101, B-1090 Brussels, Belgium.
Muscle Nerve. 2008 Dec;38(6):1653-7. doi: 10.1002/mus.21158.
Different clinical presentations of chronic inflammatory demyelinating polyneuropathy (CIDP) have been described. Fatigue is generally considered to be a secondary sign and is not mentioned as a warning sign for the diagnosis. We present a patient with CIDP in whom fatigue remained the only symptom, hereby stressing the importance of adding this disease to the differential diagnosis of fatigue. Immunomodulatory treatment did not change the clinical course of the patient, but electrodiagnostic features improved substantially.
慢性炎性脱髓鞘性多发性神经病（CIDP）已有不同临床表现的描述。疲劳通常被认为是一种次要症状，在诊断时未被提及为警示症状。我们报告一例CIDP患者，其疲劳是唯一症状，从而强调在疲劳鉴别诊断中考虑该疾病的重要性。免疫调节治疗虽未改变患者临床病程，但电诊断特征有显著改善。
