Acute Painful Sensory Neuropathy Diagnosed as Nonsystemic Vasculitic Neuropathy.
- Author:
Hyung Jin KIM
1
;
Won Tae YOON
;
Jong Seok BAE
;
Minky KIM
;
Yeon Lim SUH
;
Byoung Joon KIM
Author Information
1. Department of Neurology, Sungkyunkwan University, School of Medicine, Seoul, Korea. bjkim@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Vasculitis;
Neuropathy;
Pain
- MeSH:
Acute Pain*;
Diagnosis;
Mononeuropathies;
Pathology;
Peripheral Nerves;
Polyneuropathies;
Sural Nerve;
Vasculitis
- From:Journal of the Korean Neurological Association
2004;22(5):555-559
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nonsystemic vasculitic neuropathy (NSVN) is a localized vasculitis confined to the peripheral nerves. Absence of systemic manifestations frequently leads to mis- or under diagnosis without the aid of pathologic study. NSVN may present typically with multiple mononeuropathies or less commonly with a sensorimotor polyneuropathy. We report two cases of NSVN presenting with acute severe painful neuropathy. Sural nerve pathology showed unequivocal vasculitis. High dose corticosteroid therapy was effective in controlling the pain. NSVN should be considered as a treatable cause of acute painful neuropathy.
