Pyrexia-associated Relapse in Chronic Inflammatory Demyelinating Polyradiculoneuropathy
| Autor: | Jun Ueda, Nobuo Kohara, Hajime Yoshimura |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Fever medicine.medical_treatment Case Report nerve conduction study Gastroenterology Viral infection 03 medical and health sciences 0302 clinical medicine Recurrence Internal medicine Remission phase Internal Medicine medicine demyelinating diseases Humans Relapse phase chronic inflammatory demyelinating polyradiculoneuropathy medicine.diagnostic_test Tumor Necrosis Factor-alpha business.industry Polyradiculoneuropathy General Medicine Middle Aged medicine.disease 030104 developmental biology Cytokine Polyradiculoneuropathy Chronic Inflammatory Demyelinating Chronic Disease Nerve conduction study Cytokines Female Tumor necrosis factor alpha business blood-nerve barrier 030217 neurology & neurosurgery |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.0588-17 |
| Popis: | Chronic inflammatory demyelinating polyradiculoneuropathy is a relapsing-remitting or chronic progressive demyelinating polyradiculoneuropathy. We report the case of a patient with chronic inflammatory demyelinating polyradiculoneuropathy who experienced relapses on four occasions after experiencing pyrexia and flu-like symptoms. Our patient showed characteristic features, such as relapse after pyrexia and flu-like symptoms, remission after pyretolysis without treatment, and the absence of remarkable improvement in a nerve conduction study in the remission phase. The serum level of tumor necrosis factor-α was elevated in the relapse phase and reduced in the remission phase; thus, the induction of cytokine release by viral infection might have caused the relapses. |
| Databáze: | OpenAIRE |
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