Source:http://linkedlifedata.com/resource/pubmed/id/11939353
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2002-4-9
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pubmed:abstractText |
Cryoglobulinemia represents an emerging cause of peripheral neuropathy, especially in Southern Europe, in view of its relationship with hepatitis C virus infection. In a series of 100 consecutive referral patients with uncharacterized peripheral neuropathies, we systematically investigated cryoglobulinemia to assess its diagnostic yield. The most frequent diagnosis was hereditary neuropathy (33%), 29% were acquired neuropathies of different types, and no cause could be identified in 27%. Cryoglobulinemic neuropathy was diagnosed in 11 patients (7 women and 4 men), aged 54-77 (mean = 63.5 years), most presenting with sensory polyneuropathy, often asymmetrical. Cryoglobulin was also detected in 2 additional patients in whom a final diagnosis of non-Hodgkin lymphoma was made. Purpura was absent in 4 patients (and in 2 with lymphoma), or restricted to discrete manifestations in the remaining patients, which did not provide a clue to the diagnosis. Thus, search for cryoglobulin proves useful in a substantial number of undiagnosed peripheral neuropathies (11% to 13% in our series), even in the absence of typical skin lesions, and it is recommended as a first-line investigation in patients with unexplained neuropathy presenting in middle to older age.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
1085-9489
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
59-64
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:11939353-Aged,
pubmed-meshheading:11939353-Cryoglobulinemia,
pubmed-meshheading:11939353-Female,
pubmed-meshheading:11939353-Hepatitis C,
pubmed-meshheading:11939353-Humans,
pubmed-meshheading:11939353-Male,
pubmed-meshheading:11939353-Middle Aged,
pubmed-meshheading:11939353-Peripheral Nervous System Diseases,
pubmed-meshheading:11939353-Prospective Studies,
pubmed-meshheading:11939353-Sex Factors
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pubmed:year |
2002
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pubmed:articleTitle |
Cryoglobulinemia is a frequent cause of peripheral neuropathy in undiagnosed referral patients.
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pubmed:affiliation |
Institute of Neurology, University of Parma, Italy. gemignan@unipr.it
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pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
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