[Hepatitis C-associated vasculitic mononeuritis multiplex].
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.
Heckmann
J G
JG
Neurologische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg.
Engelhardt
A
A
Druschky
A
A
Blum
H E
HE
Neundörfer
B
B
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*
D005938:Glucocorticoids; D011239:Prednisolone
Hepatitis-C-assoziierte vaskulitische Mononeuritis multiplex.