[Diseases Separated from Chronic Inflammatory Demyelinating Polyradiculoneuropathy: Anti-Myelin-Associated Glycoprotein Neuropathy and Autoimmune Nodopathy].

Q3 Medicine Brain and Nerve Pub Date : 2025-01-01 DOI:10.11477/mf.188160960770010035
Masanori Nakajima, Ken-Ichi Kaida
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Abstract

Anti-myelin-associated glycoprotein (Anti-MAG) neuropathy and autoimmune nodopathies with antibodies targeting nodal or paranodal proteins have recently been reclassified as distinct conditions, separate from chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). This distinction is based on the clinical homogeneity observed in antibody-positive cases, their unique response to treatment compared to CIDP, and evidence indicating the pathogenic role of these autoantibodies. The significance of identifying conditions outside the CIDP category lies in the elucidation of their distinct pathological mechanisms and providing appropriate immunotherapy accordingly. We hope that the various pathologies currently grouped under CIDP will be further clarified in the future, leading to the elimination of CIDP variants with different pathophysiologies.

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[从慢性炎症性脱髓鞘性多根神经病变中分离出来的疾病:抗髓鞘相关糖蛋白神经病和自身免疫性神经病变]。
最近,抗髓鞘相关糖蛋白(Anti-MAG)神经病变和自身免疫性结节病与针对淋巴结或旁淋巴结蛋白的抗体被重新分类为不同的疾病,与慢性炎症性脱髓鞘性多根神经病变(CIDP)分开。这种区别是基于在抗体阳性病例中观察到的临床同质性,与CIDP相比,它们对治疗的独特反应,以及表明这些自身抗体致病作用的证据。识别CIDP类别外的疾病的意义在于阐明其独特的病理机制并提供相应的免疫治疗。我们希望今后能够进一步明确目前归为CIDP的各种病理,从而消除具有不同病理生理的CIDP变异。
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来源期刊
Brain and Nerve
Brain and Nerve Medicine-Neurology (clinical)
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[Deep Brain Stimulation: From History to Recent Advances]. [Chronic Inflammatory Demyelinating Polyradiculoneuropathy: Challenges of Standard Treatments and Prospects for New Therapies]. [Clinical Neurology and Joseph Babinski]. [Ettore Marchiafava, A Roman Neurologist, and Marchiafava-Bignami Disease (MBD)]. [Paul Broca: The Origin of Brain Science of Language].
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