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Case 13 - Vasculitic Neuropathy

from Peripheral Neuropathies

Published online by Cambridge University Press:  29 November 2024

Jessica E. Hoogendijk
Affiliation:
University Medical Center Utrecht
Marianne de Visser
Affiliation:
Amsterdam University Medical Center
Pieter A. van Doorn
Affiliation:
Erasmus MC, University Medical Center, Rotterdam
Erik H. Niks
Affiliation:
Leiden University Medical Center
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Summary

A 53-year-old man developed a left-sided foot drop and a painful sensation on the ventral side of the foot and outer part of the lower leg. Two weeks later, the same symptoms also developed on the right side. In addition, he noticed progressive numbness of his lower legs. Three weeks later, he noticed weakness of his right hand, and was unable to spread his fingers. He had no other symptoms, and his medical history was not informative. He did not recall a tick bite or erythema migrans, or any pulmonary abnormality, and had not visited tropical countries. He does not sit with crossed legs.

Type
Chapter
Information
Neuromuscular Disease
A Case-Based Approach
, pp. 107 - 109
Publisher: Cambridge University Press
Print publication year: 2024

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References

Suggested Reading

Collins, MP, Dyck, PJB, Hadden, RDM. Update on classification, epidemiology, clinical phenotype and imaging of the nonsystemic vasculitic neuropathies. Curr Opin Neurol 2019;32(5):684695. doi: 10.1097/WCO.0000000000000727. PMID: 31313704.CrossRefGoogle ScholarPubMed
Gwathmey, KG, Tracy, JA, Dyck, PJB. Peripheral nerve vasculitis: classification and disease associations. Neurol Clin 2019;37(2):303333. doi: 10.1016/j.ncl.2019.01.013. Epub 2019 Mar 18. PMID: 30952411.CrossRefGoogle ScholarPubMed
Koike, H, Nishi, R, Ohyama, K, et al. ANCA-associated vasculitic neuropathies: a review. Neurol Ther 2022;11(1):2138. doi: 10.1007/s40120-021-00315-7. Epub 2022 Jan 19. PMID: 35044596; PMCID: PMC8857368.CrossRefGoogle ScholarPubMed

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