Said G
Service de Neurologie, Hopital de Bicetre, Universite Paris Sud, Paris, France.
Neurol Clin. 1997 Nov;15(4):835-48. doi: 10.1016/s0733-8619(05)70350-9.
Necrotizing vasculitis of the type in polyarteritis nodosa is a treatable cause of neuropathy. The diagnosis must be confirmed histologically by demonstration of characteristic arterial lesions in nerve and muscle biopsy specimens. Ischemic neuropathy which results from occlusion of nerve arteries in polyarteritis nodosa also occurs as a consequence of inflammatory arterial lesions in other connective tissue disorders, in some infectious neuropathies and in patients with malignant lymphomas. Patients with vasculitic neuropathy may also present with isolated peripheral neuropathy.
结节性多动脉炎类型的坏死性血管炎是一种可治疗的神经病变病因。诊断必须通过在神经和肌肉活检标本中显示特征性动脉病变进行组织学确认。结节性多动脉炎中神经动脉闭塞导致的缺血性神经病变也可发生于其他结缔组织疾病、某些感染性神经病变以及恶性淋巴瘤患者的炎症性动脉病变。血管炎性神经病变患者也可能仅表现为周围神经病变。
