Atypical chronic inflammatory demyelinating polyradiculoneuropathy with ophthalmoplegia and anti-sulfatide IgM positivity

Background Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a heterogeneous group of chronic immune-mediated polyradiculoneuropathies. The clinical presentation of CIDP is mainly characterized by a classic peripheral demyelinating sensory-motor type and persists for a minimum of 2...

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Main Authors: Li Chen, Yanjun Zhang, Nan Qin, Ranran Han, Yuwang Li
Format: Article
Language:English
Published: SAGE Publishing 2023-10-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605231193575
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author Li Chen
Yanjun Zhang
Nan Qin
Ranran Han
Yuwang Li
author_facet Li Chen
Yanjun Zhang
Nan Qin
Ranran Han
Yuwang Li
author_sort Li Chen
collection DOAJ
description Background Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a heterogeneous group of chronic immune-mediated polyradiculoneuropathies. The clinical presentation of CIDP is mainly characterized by a classic peripheral demyelinating sensory-motor type and persists for a minimum of 2 months. However, CIDP may also present with atypical symptoms. Case presentation: This report presents the case of a patient with CIDP with ophthalmoplegia and anti-sulfatide IgM antibodies. Maintenance intravenous immunoglobulin and glucocorticoid therapies were administered to the patient in accordance with the clinical, laboratory, and electrophysiological findings, which were indicative of CIDP. The treatment partially improved the symptoms, and no recurrence was detected throughout the 3-month monitoring phase. Conclusions This study combines a retrospective analysis and a literature review to explore the possible mechanism of CIDP.
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spelling doaj.art-d3ee4ee52c3742caa6a71922b54b68112023-10-10T01:03:32ZengSAGE PublishingJournal of International Medical Research1473-23002023-10-015110.1177/03000605231193575Atypical chronic inflammatory demyelinating polyradiculoneuropathy with ophthalmoplegia and anti-sulfatide IgM positivityLi ChenYanjun ZhangNan QinRanran HanYuwang LiBackground Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a heterogeneous group of chronic immune-mediated polyradiculoneuropathies. The clinical presentation of CIDP is mainly characterized by a classic peripheral demyelinating sensory-motor type and persists for a minimum of 2 months. However, CIDP may also present with atypical symptoms. Case presentation: This report presents the case of a patient with CIDP with ophthalmoplegia and anti-sulfatide IgM antibodies. Maintenance intravenous immunoglobulin and glucocorticoid therapies were administered to the patient in accordance with the clinical, laboratory, and electrophysiological findings, which were indicative of CIDP. The treatment partially improved the symptoms, and no recurrence was detected throughout the 3-month monitoring phase. Conclusions This study combines a retrospective analysis and a literature review to explore the possible mechanism of CIDP.https://doi.org/10.1177/03000605231193575
spellingShingle Li Chen
Yanjun Zhang
Nan Qin
Ranran Han
Yuwang Li
Atypical chronic inflammatory demyelinating polyradiculoneuropathy with ophthalmoplegia and anti-sulfatide IgM positivity
Journal of International Medical Research
title Atypical chronic inflammatory demyelinating polyradiculoneuropathy with ophthalmoplegia and anti-sulfatide IgM positivity
title_full Atypical chronic inflammatory demyelinating polyradiculoneuropathy with ophthalmoplegia and anti-sulfatide IgM positivity
title_fullStr Atypical chronic inflammatory demyelinating polyradiculoneuropathy with ophthalmoplegia and anti-sulfatide IgM positivity
title_full_unstemmed Atypical chronic inflammatory demyelinating polyradiculoneuropathy with ophthalmoplegia and anti-sulfatide IgM positivity
title_short Atypical chronic inflammatory demyelinating polyradiculoneuropathy with ophthalmoplegia and anti-sulfatide IgM positivity
title_sort atypical chronic inflammatory demyelinating polyradiculoneuropathy with ophthalmoplegia and anti sulfatide igm positivity
url https://doi.org/10.1177/03000605231193575
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AT nanqin atypicalchronicinflammatorydemyelinatingpolyradiculoneuropathywithophthalmoplegiaandantisulfatideigmpositivity
AT ranranhan atypicalchronicinflammatorydemyelinatingpolyradiculoneuropathywithophthalmoplegiaandantisulfatideigmpositivity
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