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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
1989-4-13
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pubmed:abstractText |
Particular clinical pictures of ALS may occur during the course of some "benign gammapathies". We observed 12 patients (age range 57 to 74 years; 9 men-3 women) with initially benign gammapathy (9 IgG, 1 IgA, 2 IgM) associated to a clinical picture of progressive anterior horn and pyramidal tract involvement. These cases led us to recognize some particularities of gammapathy-associated ALS: Relative frequency of asymmetrical clinical manifestations, rarity of bulbar signs; Decrease of sensory nerve conduction velocities without evidence of sensory clinical symptoms (8 out 9); Increase CSF protein content including the monoclonal component, axonal degeneration and immunostaining evidence of the paraprotein fixation observed on nerve biopsies (5 out 7 cases). Association of ALS and gammapathy is not fortuitous as shown by epidemiology, experiments, pathology and effects of different immunological treatments as related in this study. Demonstration of infra-clinical neuropathy face to a clinical syndrome of ALS should prompt too careful screening for a gammapathy.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0035-3787
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
144
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
710-5
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:3231959-Aged,
pubmed-meshheading:3231959-Amyotrophic Lateral Sclerosis,
pubmed-meshheading:3231959-Female,
pubmed-meshheading:3231959-Humans,
pubmed-meshheading:3231959-Hypergammaglobulinemia,
pubmed-meshheading:3231959-Immunoglobulin A,
pubmed-meshheading:3231959-Immunoglobulin G,
pubmed-meshheading:3231959-Immunoglobulin M,
pubmed-meshheading:3231959-Male,
pubmed-meshheading:3231959-Middle Aged,
pubmed-meshheading:3231959-Monoclonal Gammopathy of Undetermined Significance
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pubmed:year |
1988
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pubmed:articleTitle |
[Peripheral neuropathies simulating amyotrophic lateral sclerosis in gammopathies].
|
pubmed:affiliation |
Service d'Electromyographie, Hôpital Neurologique de Lyon.
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pubmed:publicationType |
Journal Article,
English Abstract
|