Recent advances in the diagnosis of immune mediated demyelinating neuropathies

Inflammatory neuropathies are a group of acquired neuropathies which could be due to autoimmune, infectious, paraneoplastic, or paraproteinemic etiology. The etiological diagnosis of inflammatory neuropathy is not simple, and often requires combination of clinical, electrophysiological, and histopat...

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Main Authors: Shilpa Rao, Madhu Nagappa, Anita Mahadevan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=5;spage=310;epage=317;aulast=Rao
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author Shilpa Rao
Madhu Nagappa
Anita Mahadevan
author_facet Shilpa Rao
Madhu Nagappa
Anita Mahadevan
author_sort Shilpa Rao
collection DOAJ
description Inflammatory neuropathies are a group of acquired neuropathies which could be due to autoimmune, infectious, paraneoplastic, or paraproteinemic etiology. The etiological diagnosis of inflammatory neuropathy is not simple, and often requires combination of clinical, electrophysiological, and histopathological findings to arrive at a precise diagnosis which is important for management of the disorder. Whereas there are comprehensive and sensitive panel of serological tests available for diagnosis of the infectious, paraneoplastic, paraproteinemic neuropathies, the diagnosis of immune-mediated demyelinating neuropathies remain a considerable challenge as there is both clinical and pathological overlap. Newer non-invasive methodologies such as high-resolution ultrasound, magnetic resonance imaging (MRI), and importantly, serological testing for antibodies are emerging, and it is essential for the practicing pathologist to be up-to-date with emerging modalities. In this review, we focus on the approach to diagnosis of immune-mediated demyelinating neuropathies.
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spelling doaj.art-3f44037f45b7475e91b09adcf8ef895a2022-12-22T02:47:26ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292022-01-0165531031710.4103/ijpm.ijpm_50_22Recent advances in the diagnosis of immune mediated demyelinating neuropathiesShilpa RaoMadhu NagappaAnita MahadevanInflammatory neuropathies are a group of acquired neuropathies which could be due to autoimmune, infectious, paraneoplastic, or paraproteinemic etiology. The etiological diagnosis of inflammatory neuropathy is not simple, and often requires combination of clinical, electrophysiological, and histopathological findings to arrive at a precise diagnosis which is important for management of the disorder. Whereas there are comprehensive and sensitive panel of serological tests available for diagnosis of the infectious, paraneoplastic, paraproteinemic neuropathies, the diagnosis of immune-mediated demyelinating neuropathies remain a considerable challenge as there is both clinical and pathological overlap. Newer non-invasive methodologies such as high-resolution ultrasound, magnetic resonance imaging (MRI), and importantly, serological testing for antibodies are emerging, and it is essential for the practicing pathologist to be up-to-date with emerging modalities. In this review, we focus on the approach to diagnosis of immune-mediated demyelinating neuropathies.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=5;spage=310;epage=317;aulast=Raodemyelinatingdiagnosisinflammatorynerve biopsyneuropathiesserology
spellingShingle Shilpa Rao
Madhu Nagappa
Anita Mahadevan
Recent advances in the diagnosis of immune mediated demyelinating neuropathies
Indian Journal of Pathology and Microbiology
demyelinating
diagnosis
inflammatory
nerve biopsy
neuropathies
serology
title Recent advances in the diagnosis of immune mediated demyelinating neuropathies
title_full Recent advances in the diagnosis of immune mediated demyelinating neuropathies
title_fullStr Recent advances in the diagnosis of immune mediated demyelinating neuropathies
title_full_unstemmed Recent advances in the diagnosis of immune mediated demyelinating neuropathies
title_short Recent advances in the diagnosis of immune mediated demyelinating neuropathies
title_sort recent advances in the diagnosis of immune mediated demyelinating neuropathies
topic demyelinating
diagnosis
inflammatory
nerve biopsy
neuropathies
serology
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=5;spage=310;epage=317;aulast=Rao
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AT anitamahadevan recentadvancesinthediagnosisofimmunemediateddemyelinatingneuropathies