What Is in the Literature.

Mark B Bromberg
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引用次数: 1

Abstract

Abstract: What is in the Literature focuses on chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), a neuropathy with challenges in diagnosis and treatment. A recent revision of diagnostic criteria (EFN/PNS criteria) has helped define clinical features of typical and atypical variants and what is not considered CIDP. Initiating pathologic factors is not known for typical CIDP or variants. New treatment approaches are based on immunologic mechanisms. Rare patients with a CIDP-like clinical pattern are found to have antibodies to proteins at and around the node of Ranvier and are not considered to be CIDP but a nodal-paranodopathy. Although occurring mainly in adults, CIDP also occurs in children. CIDP may have clinical and electrodiagnostic features that overlap with hereditary neuropathies, and the latter might show some response to treatment. Articles published in the past year that address these issues are discussed in this review.

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摘要:慢性炎症性脱髓鞘性多根神经病变(CIDP)是一种诊断和治疗具有挑战性的神经病变。最近修订的诊断标准(EFN/PNS标准)有助于定义典型和非典型变异的临床特征以及不被认为是CIDP的情况。对于典型的CIDP或变体,初始病理因素尚不清楚。新的治疗方法基于免疫机制。罕见的有CIDP样临床模式的患者在Ranvier淋巴结及其周围发现有蛋白质抗体,不被认为是CIDP,而是一种淋巴结副病。虽然主要发生在成人,CIDP也发生在儿童。CIDP可能具有与遗传性神经病重叠的临床和电诊断特征,后者可能对治疗有一定反应。本综述讨论了过去一年发表的关于这些问题的文章。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
64
期刊介绍: Journal of Clinical Neuromuscular Disease provides original articles of interest to physicians who treat patients with neuromuscular diseases, including disorders of the motor neuron, peripheral nerves, neuromuscular junction, muscle, and autonomic nervous system. Each issue highlights the most advanced and successful approaches to diagnosis, functional assessment, surgical intervention, pharmacologic treatment, rehabilitation, and more.
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