Department of Neurology, University of Kansas Medical Center, 3599 Rainbow Boulevard, Mail Stop 2012, Kansas City, KS 66160, USA.
Neurol Clin. 2013 May;31(2):533-55. doi: 10.1016/j.ncl.2013.01.001. Epub 2013 Feb 16.
Chronic acquired demyelinating neuropathies (CADP) constitute an important group of immune neuromuscular disorders affecting myelin. This article discusses CADP with emphasis on multifocal motor neuropathy, multifocal acquired demyelinating sensory and motor neuropathy, distal acquired demyelinating symmetric neuropathy, and less common variants. Although each of these entities has distinctive laboratory and electrodiagnostic features that aid in their diagnosis, clinical characteristics are of paramount importance in diagnosing specific conditions and determining the most appropriate therapies. Knowledge regarding pathogenesis, diagnosis, and management of these disorders continues to expand, resulting in improved opportunities for identification and treatment.
慢性获得性脱髓鞘性神经病(CADP)构成了一组重要的影响髓鞘的免疫性神经肌肉疾病。本文重点讨论 CADP,包括多灶性运动神经病、多灶性获得性脱髓鞘感觉运动神经病、远端获得性脱髓鞘对称性神经病和较少见的变异型。虽然这些疾病都有独特的实验室和电诊断特征有助于诊断,但临床特征对于诊断特定疾病和确定最合适的治疗方法至关重要。对这些疾病的发病机制、诊断和治疗的认识不断发展,为识别和治疗提供了更多机会。