title: [Hepatitis C-associated vasculitic mononeuritis multiplex].
abstract: METHODS
  A 56-year-old woman with hepatitis C had symptoms of a polyneuropathy with asymmetrical distal pareses and painful sensory disturbances in the limbs.
  
  
  METHODS
  In addition to positive serology for hepatitis C cryoglobulins were demonstrated and complement C4 was reduced. Biopsy of the sural nerve showed a vasculitic neuropathy.
  
  
  METHODS
  The multiple neuropathy (cryoglobulinaemia neuropathy), associated with hepatitis C, was treated with corticosteroids (starting with 60 mg/d prednisolone) and the neurological abnormalities regressed well.
  
  
  CONCLUSIONS
  Vasculitis associated with hepatitis C should be included in the differential diagnosis of peripheral neuropathy.
authors.affiliation: Neurologische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg.
authors.forename: J G
authors.initials: JG
authors.lastname: Heckmann
authors.forename: A
authors.initials: A
authors.lastname: Engelhardt
authors.forename: A
authors.initials: A
authors.lastname: Druschky
authors.forename: H E
authors.initials: HE
authors.lastname: Blum
authors.forename: B
authors.initials: B
authors.lastname: Neundörfer
mesh_terms: D002908:Chronic Disease; D003449:Cryoglobulinemia / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D005528:Foot / Q000098:blood supply / Q000294:innervation; D005534:Foot Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D005938:Glucocorticoids / Q000008:administration & dosage; D006526:Hepatitis C / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D011115:Polyneuropathies / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011239:Prednisolone / Q000008:administration & dosage; D014657:Vasculitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone
vernacular_title: Hepatitis-C-assoziierte vaskulitische Mononeuritis multiplex.