Two Cases of Numbness and Pain of Neuropathy due to ANCA-associated Vasculitis Successfully Treated with Ogikeishigomotsuto
10.3937/kampomed.58.495
- Author:
Hiroaki HIKIAMI
;
Kiyotaka YAGI
;
Shinji NAKATA
;
Hiroshi OKA
;
Hirozo GOTO
;
Naotoshi SHIBAHARA
;
Yutaka SHIMADA
- Publication Type:Journal Article
- Keywords:
antineutrophil cytoplasmic antibody;
ANCA-associated vasculitis;
neuropathy;
numbness;
pain;
ogikeishigomotsuto
- MeSH:
Numbness;
Pain;
Peripheral neuropathy;
Antineutrophil cytoplasmic antibody measurement;
Vasculitis
- From:Kampo Medicine
2007;58(3):495-501
- CountryJapan
- Language:Japanese
-
Abstract:
We report two cases of numbness and pain of neuropathy due to ANCA (antineutrophil cytoplasmic antibody)-associated vasculitis successfully treated with Ogikeishigomotsuto. The first case was a 57-year-old female who complained of high fever, painful skin eruptions of the lower limbs, and proteinuria. Although the severe pain was reduced with steroid therapy, neuropathy-related numbness and pain remained widespread in her lower limbs. After we prescribed Ogikeishigomotsuto, most of her pain disappeared while her degree of numbness diminished by almost half in two weeks. In addition, her steroid therapy could be tapered off without adverse effect. The second case was an 82-year-old female with fever and myalgia. Although myalgia of the upper arm disappeared with steroid treatment, walking became difficult due to numbness from the lower legs, to the soles of her feet. With Ogikeishigomotsuto administration, she became better able to walk because her legs had warmed up, and the range of her numbness had decreased. These cases suggest that Ogikeishigomotsuto may be effective against numbness and neuropathic pain due to ANCA-associated vasculitis.