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논문KCI 등재

길랑-바레 증후군의 양상으로 나타난 만성염증수초탈락여러신경병증

Chronic Inflammatory Demyelinating Polyneuropathy Presenting as Features of Guillain-Barre Syndrome

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초록

By definition, the time to reach nadir in Guillain-Barre syndrome (GBS) is within four weeks. This is in contrast to the chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), which progress for at least two months. However, CIDP can take a relapsing and remitting form and could mimic treatment related fluctuations of GBS (GBS-TRFs) especially during the early phase of disease. We report a patient with CIDP who initially presented with a rapidly progressive limb weakness mimicking GBS, but finally showed good recovery after long term corticosteroid therapy.

Abstract

By definition, the time to reach nadir in Guillain-Barre syndrome (GBS) is within four weeks. This is in contrast to the chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), which progress for at least two months. However, CIDP can take a relapsing and remitting form and could mimic treatment related fluctuations of GBS (GBS-TRFs) especially during the early phase of disease. We report a patient with CIDP who initially presented with a rapidly progressive limb weakness mimicking GBS, but finally showed good recovery after long term corticosteroid therapy.

참고문헌 (6)

  1. Asbury AK, "Assessment of current diagnosticcriteria for Guillain-Barre syndrome", Ann Neurol, 27, pp.S21~24
  2. Report from the Ad Hoc Subcomittee of the AmericanAcademy of Neurology AIDS Task Force, "Research criteriafor diagnosis of chronic inflammatory demyelinating polyneuropathy", Neurology, 41, pp.617~618 (1991)
  3. Odaka M, "Patient with chronic inflammatorydemyelinating polyneuropathy initially diagnosed asGuillain-Barre syndrome", Neurol, 250, pp.913~916 (2003)
  4. Ruts L, "Distinguishingacute-onset CIDP from Guillain-Barre syndrome with treatmentrelated fluctuations", Neurology, 65, pp.138~140 (2005)
  5. Mori K, "Chronic inflammatory demyelinating polyneuropathypresenting with features of GBS", Neurology, 58, pp.979~982 (2002)
  6. Grand’Maison F, "Recurrent Guillain-Barre syndrome: clinical and laboratoryfeatures", Brain, 115, pp.1093~1106 (1992)

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