Abstract
We examined a 27-year-old woman who developed rapidly progressive quadriplegia and acute respiratory failure that required mechanical ventilation in the intensive care unit. It was unclear whether this was a presentation of Guillain-Barré syndrome (GBS) or acute-onset chronic inflammatory demyelinating polyradiculoneuropathy (A-CIDP). Remarkable features included multiple cranial nerve involvement, respiratory failure, dysautonomia, and skin manifestations. Several autoantibodies were elevated, including antinuclear (ANA), anticardiolipin (aCL), thyroid, and calcium-sensing receptor (CaSR) autoantibodies. The patient was initially diagnosed with GBS and treated with intravenous immunoglobulin (IVIg). After almost complete recovery, relapse with quadriplegia and respiratory failure was observed 12 weeks after motor symptom onset. She then received IVIg and steroid pulse therapy followed by maintenance oral methylprednisolone and plasma exchange. She recovered completely 4 months after the relapse. The further clinical and serological course was consistent with systemic lupus erythematosus (SLE)-associated CIDP. Herein we evaluate the association between A-CIDP and some biological markers of autoimmunity.
References
Jun 1, 1992·Archives of Neurology·R HughesP Payan
Apr 23, 1992·The New England Journal of Medicine·A H Ropper
Jun 1, 1991·Acta Neurologica Scandinavica·E SindernA J Steck
May 1, 1990·Journal of the Neurological Sciences·W ChaleomchanU Deesomchok
Nov 1, 1966·Biulleten' eksperimental'noĭ biologii i meditsiny·I N SorokinaZ D Pigareva
Oct 1, 1984·Neurology·E RechthandJ O Meyerhoff
Feb 15, 1996·The Journal of Clinical Investigation·Y LiN Maclaren
Mar 27, 2002·Neurology·K MoriG Sobue
Mar 28, 2003·Muscle & Nerve·Tanya StojkovicPatrick Vermersch
Aug 21, 2003·Journal of Neurology·Masaaki OdakaKoichi Hirata
Jan 10, 2004·European Journal of Endocrinology·Ravinder GoswamiNaibedya Chattopadhyay
Mar 31, 2004·Muscle & Nerve·Peter Y K Van den Bergh, Françoise Piéret
Sep 10, 2004·The Journal of Clinical Endocrinology and Metabolism·Anne MayerNicole Fabien
Mar 3, 2005·Acta Neurologica Scandinavica·H NakajimaT Hanafusa
Mar 3, 2005·Muscle & Nerve·A MyglandC Vedeler
Jun 9, 2005·Journal of Neurology·Robert D HendersonEelco F M Wijdicks
Jul 13, 2005·Neurology·Liselotte RutsPieter A van Doorn
Dec 6, 2005·Seminars in Arthritis and Rheumatism·Ernest R VinaMichael H Weisman
Apr 29, 2006·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·R A C HughesI N van Schaik
Aug 8, 2008·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·K John AlexanderK M Sharafuddin
Oct 22, 2008·Journal of Neurology, Neurosurgery, and Psychiatry·K KuitwaardP A van Doorn
Apr 2, 2009·Journal of the Peripheral Nervous System : JPNS·Krista KuitwaardPieter A van Doorn
Citations
Feb 24, 2012·Neurology·J J FigueroaP A Low
May 6, 2010·Expert Review of Clinical Immunology·Eduardo A De Sousa
Apr 30, 2013·La Presse médicale·Peter Y K Van den Bergh, Yusuf A Rajabally
Jun 7, 2011·Seminars in Arthritis and Rheumatism·Brandusa FloricaPaul R Fortin
Jun 9, 2011·Acta Neurologica Scandinavica·S A ZivkovićD Lacomis
Apr 3, 2012·The International Journal of Neuroscience·Giuliana Galassi, Francesca Girolami
Dec 13, 2012·Autoimmunity Reviews·Remco K M A C LuijtenRonald H W M Derksen
Sep 2, 2016·Rinshō shinkeigaku = Clinical neurology·Shintaro HayashiKoichi Okamoto
Dec 20, 2016·Arquivos de neuro-psiquiatria·Helena AlessiOrlando G P Barsottini
Mar 22, 2012·Lupus·R JasminK-J Goh
Dec 17, 2017·Medicine·Nan ZhangLi Sun
Nov 20, 2018·Internal Medicine·Yusuke SeinoMikio Shoji
Sep 17, 2011·Muscle & Nerve·Giuliana Galassi
Sep 17, 2011·Muscle & Nerve·Hongliang Zhang, Jiang Wu
Oct 12, 2012·Muscle & Nerve·Yuebing Li, Krista Remmel
Jan 1, 2021·Seminars in Arthritis and Rheumatism·Paulo Rogério JulioSimone Appenzeller
Dec 3, 2010·Current Opinion in Rheumatology