Trillet M, Fischer C, Charhon S, Bady B, Kopp N, Schott B
Rev Neurol (Paris). 1980;136(3):247-58.
A case of chronic disabling sensory-motor polyradiculitis occurring in a female patient and followed up for 18 months is reported. Clinical findings were papilledema, hypertrichosis, abnormal pigmentation of the skin, generalized edema, and spontaneous cutaneous necrosis. The diagnosis of a plasmocytic dyscrasia to IgA Lambda was made at a late stage of the disease. There were no signs of a solitary plasmocytoma or of diffuse myeloma. At autopsy, there were mild lesions in the peripheral nervous system, but no plasmocytic infiltration or amylosis was seen on optical or electron microscopy. This case is similar to other clinical cases reported mainly by Japanese authors.
报告了一例发生在女性患者身上并随访18个月的慢性致残性感觉运动性多神经根炎病例。临床发现包括视乳头水肿、多毛症、皮肤色素沉着异常、全身性水肿和自发性皮肤坏死。在疾病晚期诊断为IgA Lambda型浆细胞异常增生症。没有孤立性浆细胞瘤或弥漫性骨髓瘤的迹象。尸检时,外周神经系统有轻度病变,但光学显微镜和电子显微镜检查均未发现浆细胞浸润或淀粉样变性。该病例与主要由日本作者报道的其他临床病例相似。