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单克隆丙种球蛋白病相关神经病

Monoclonal Gammopathy-Associated Neuropathy.

作者信息

Sarosiek Shayna, Doughty Christopher T, Castillo Jorge J

机构信息

Bing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute450 Brookline Ave, Mayer 223, Boston, MA, 02215, USA.

Department of Medicine, Harvard Medical School, Boston, MA, USA.

出版信息

Curr Hematol Malig Rep. 2024 Dec 16;20(1):2. doi: 10.1007/s11899-024-00745-8.

Abstract

PURPOSE OF REVIEW

Peripheral neuropathy (PN) is more commonly seen in individuals with monoclonal gammopathies, especially in patients with an IgM monoclonal gammopathy or Waldenström macroglobulinemia.

RECENT FINDINGS

There are multiple potential ways that the paraprotein may result in peripheral neuropathy. The diagnosis and management of monoclonal gammopathy-associated PN are challenging and necessitate a concerted effort between the hematologist/oncologist and the neurologist. This review describes the most common PN syndromes associated with monoclonal gammopathy, such as anti-myelin-associated glycoprotein neuropathy, light chain amyloidosis, cryoglobulinemia, POEMS, CANOMAD, and others. We also review the therapies used to treat these conditions.

摘要

综述目的

周围神经病变(PN)在单克隆丙种球蛋白病患者中更为常见,尤其是在IgM单克隆丙种球蛋白病或华氏巨球蛋白血症患者中。

最新发现

副蛋白可能导致周围神经病变的潜在途径有多种。单克隆丙种球蛋白病相关PN的诊断和管理具有挑战性,需要血液科医生/肿瘤内科医生和神经科医生共同努力。本综述描述了与单克隆丙种球蛋白病相关的最常见PN综合征,如抗髓鞘相关糖蛋白神经病变、轻链淀粉样变性、冷球蛋白血症、POEMS、CANOMAD等。我们还综述了用于治疗这些疾病的疗法。

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