Mononeuritis Multiplex in Association with Anti-neutrophil Cytoplasmic Autoantibody(?) Vasculitis: A case report. |
Kim, Min Seok , Kim, Hee Sang , Hwang, Chi Moon , Ahn, Kyung Hoi |
1Department of Rehabilitation Medicine, Kyung Hee University College of Medicine, Korea. 2Department of Rehabilitation Medicine, Kyung Hee Pundang Cha Hospital, Korea. |
항호중구 세포질항체 혈관염에 의한 다발성 단신경염 1예 |
김민석, 김희상, 황치문*, 안경회 |
경희대학교 의과대학 재활의학과 및 경희 분당 차병원 재활의학과* |
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Abstract |
Mononeuritis multiplex may be a manifestation of systemic vasculitis or of other illnesses such as sarcoidosis, diabetes, lymphoma, and AIDS. Anti-neutrophil cytoplasmic autoantibody(ANCA) is a serologic marker for pauci-immune crescentic glomerulonephritis and systemic necrotizing arteritis, including polyarteritis nodosa, Wegener's granulomatosis and so-called ANCA-associated vasculitis. We report a case of mononeuritis multiplex due to ANCA associated vasculitis. A 46-year-old female visited hospital because of peripheral edema, pain and dyspnea. We diagnosed neuropathy associated with vasculitis by electrophysiologic study, sural nerve biopsy and angiography. The patient was treated with prednisolone and cyclophosphamide. Her symptoms and signs improved and her ANCA test was converted from positive to negative. |
Key Words:
Mononeuritis multiplex, Vasculitis, Anti-neutrophil cytoplasmic autoantibody |
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