Document Detail


A case of Lewis-Sumner syndrome showing dramatic improvement after plasma exchange.
MedLine Citation:
PMID:  20592909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a patient with Lewis-Sumner syndrome (LSS) who showed an improvement only with plasma exchange (PE). The patient, 32-yr old man, had progressive multifocal motor-sensory deficits with persistent, multiple conduction blocks and marked slowing of NCVs. Nerve pathology supported a diagnosis of demyelinating neuropathy by revealing marked loss of myelinated fibers with inter- and intrafascicular variation. Although the patient was refractory to treatment with corticosteroid and intravenous immunoglobulin, PE produced a dramatic improvement. Our experience strongly proposes that PE should be tried for refractory LSS.
Authors:
Young-Eun Park; Ji-Won Yook; Dae-Seong Kim
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-06-16
Journal Detail:
Title:  Journal of Korean medical science     Volume:  25     ISSN:  1598-6357     ISO Abbreviation:  J. Korean Med. Sci.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-01     Completed Date:  2010-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703518     Medline TA:  J Korean Med Sci     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  1101-4     Citation Subset:  IM    
Affiliation:
Department of Neurology, Pusan National University School of Medicine, Busan, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / therapeutic use
Adult
Demyelinating Diseases / diagnosis*,  pathology,  physiopathology,  therapy*
Humans
Immunoglobulins, Intravenous / therapeutic use
Male
Neural Conduction / physiology
Peripheral Nerves / pathology,  physiopathology
Plasma Exchange*
Syndrome
Treatment Outcome
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Immunoglobulins, Intravenous
Comments/Corrections

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