Moriguchi M, Terai C, Kuroki S, Tanaka E, Someya N, Tsunoda Y, Kashiwazaki S
Institute of Rheumatology, Tokyo Women's Medical College.
Intern Med. 1998 Apr;37(4):417-20. doi: 10.2169/internalmedicine.37.417.
Peripheral polyneuropathy and the complication of eosinophilic fasciitis (EF) is rare; only 2 such cases have been described previously. A 40-year-old woman suffered from swelling of the extremities after strenuous exercise and complained of bilateral paresthesia on the soles of her feet. The diagnosis was EF according to clinical symptoms, peripheral eosinophilia, and histological examination of the fascia. Nerve conduction tests also revealed sensory disturbance as mononeuritis multiplex. After administration of prednisolone, the swelling and tenderness of the extremities improved immediately but the neuropathy lasted for 6 months.
周围性多发性神经病合并嗜酸性筋膜炎(EF)的并发症较为罕见;此前仅报道过2例此类病例。一名40岁女性在剧烈运动后出现四肢肿胀,并主诉双侧足底感觉异常。根据临床症状、外周血嗜酸性粒细胞增多以及筋膜组织学检查,诊断为EF。神经传导测试也显示为多灶性单神经病的感觉障碍。给予泼尼松龙治疗后,四肢的肿胀和压痛立即改善,但神经病变持续了6个月。