Acute motor sensory axonal neuropathy associated with Henoch-Schönlein purpura.
A 41-year-old man was admitted with progressive tetraparesis with hypoesthesia. He also presented with purpura in both legs. After admission, joint pain, gastrointestinal tract bleeding, and renal dysfunction developed. A nerve conduction study revealed reduced amplitude of the motor and sensory nerve action potential, with normal conduction velocity. A skin biopsy showed leukocytoclastic vasculitis, indicating Henoch-Schönlein purpura (HSP). After administration of corticosteroids, the symptom completely disappeared. The present case is the first report in Japan of HSP associated clinically and electrophysiologically with confirmed acute motor sensory axonal neuropathy. Common pathogenesis might have a role for development for two distinct disorders.
Mutsukura
Kazuo
K
Fifth Department of Internal Medicine, Fukuoka University School of Medicine, Fukuoka, Japan.
Tsuboi
Yoshio
Y
Fujiki
Fujio
F
Fujioka
Shinsuke
S
Inoue
Hirosato
H
Yamada
Tatsuo
T
D000200:Action Potentials / Q000187:drug effects / Q000502:physiology; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D008297:Male; D009431:Neural Conduction / Q000187:drug effects / Q000502:physiology; D010523:Peripheral Nervous System Diseases / Q000150:complications* / Q000188:drug therapy / Q000473:pathology
D000305:Adrenal Cortex Hormones