Chronic inflammatory demyelinating polyneuropathy after Campylobacter jejuni infection mimicking vasculitic mononeuritis multiplex in a diabetic.
Chronic inflammatory demyelinating polyneuropathy (CIDP) is a clinically heterogeneous disorder. Recent reports suggest that CIDP could be more frequent in diabetics. We report here a case of CIDP presenting as mononeuritis multiplex with accompanying cranial nerve involvement in an insulin-dependent diabetic who presented a preceding Campylobacter jejuni infection and misleading skin lesions. Treatment with intravenous immunoglobulins was successful. This case suggests that CIDP should be considered as a potential diagnosis in all diabetics with localized, acute or sub-acute onset, and multiple, or overlapping mononeuropathies.
Rajabally
Yusuf A
YA
Department of Neurology, University Hospitals of Leicester, Royal Infirmary, Leicester, UK. yusuf.rajabally@uhl-tr.nhs.uk
Sarasamma
Priyarenjini
P
Abbott
Richard J
RJ
D000818:Animals; D002169:Campylobacter Infections / Q000150:complications*; D016123:Campylobacter jejuni; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003937:Diagnosis, Differential; D004594:Electrophysiology; D005076:Exanthema / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D020422:Mononeuropathies / Q000473:pathology*; D020277:Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology*; D013497:Sural Nerve / Q000473:pathology / Q000503:physiopathology; D014657:Vasculitis / Q000473:pathology