대칭적인 사지의 근력약화와 감각장애를 보인 비전신성 혈관염성 신경병 -증례보고-
Symmetrical Hypesthesia and Peripheral Muscle Weakness Associated with Non-systemic Vasculitic Peripheral Neuropathy
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초록
Non-systemic vasculitic neuropathy is an arteriolar necrotizing vasculitis, histologically restricted to the peripheral nervous system. We report a case of a patient who had non-systemic vasculitic peripheral neuropathy that were presented muscle weakness, hypesthesia and peripheral edema. A 24 years old patient was admitted for sensory change and muscle weakness gradually aggravated and accompanied with painful edema of hand and foot, bilaterally. Physical examination revealed glove-stocking type hypesthesia in upper and lower limbs and the motor power of hands and feet was decreased to fair and good grade on manual muscle test. Apart from slight elevation of ESR and CRP, others were non-specific in hematologic test. Motor-sensory axonal loss type of peripheral polyneuropathy was detected in electrodiagnostic test. In neurohistologic test, chronic inflammatory neuropathy was found along with vasculitic change in arteriole, so patient was diagnosed as non-systemic vasculitic peripheral neuropathy.
Abstract
Non-systemic vasculitic neuropathy is an arteriolar necrotizing vasculitis, histologically restricted to the peripheral nervous system. We report a case of a patient who had non-systemic vasculitic peripheral neuropathy that were presented muscle weakness, hypesthesia and peripheral edema. A 24 years old patient was admitted for sensory change and muscle weakness gradually aggravated and accompanied with painful edema of hand and foot, bilaterally. Physical examination revealed glove-stocking type hypesthesia in upper and lower limbs and the motor power of hands and feet was decreased to fair and good grade on manual muscle test. Apart from slight elevation of ESR and CRP, others were non-specific in hematologic test. Motor-sensory axonal loss type of peripheral polyneuropathy was detected in electrodiagnostic test. In neurohistologic test, chronic inflammatory neuropathy was found along with vasculitic change in arteriole, so patient was diagnosed as non-systemic vasculitic peripheral neuropathy.
참고문헌 (11)
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