Central and peripheral nervous system involvement in the L-tryptophan associated eosinophilia myalgia syndrome.
A case of L-tryptophan associated eosinophilia, myalgia, eosinophilic fasciitis, peripheral sensorimotor neuropathy, and multiple white matter lesions on MRI scan is reported. The various effects of eosinophilia on the nervous system are reviewed. The persistence of the neurological complications despite resolution of eosinophilia and steroid therapy is emphasized.
Tolander
L M
LM
Department of Neurology, University of Arizona, Tucson 85724.
Bamford
C R
CR
D000368:Aged; D001921:Brain / Q000473:pathology; D002490:Central Nervous System / Q000473:pathology* / Q000503:physiopathology; D004576:Electromyography; D004594:Electrophysiology; D016603:Eosinophilia-Myalgia Syndrome / Q000473:pathology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009431:Neural Conduction / Q000502:physiology; D010525:Peripheral Nerves / Q000473:pathology* / Q000503:physiopathology; D014364:Tryptophan / Q000009:adverse effects*
D014364:Tryptophan