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Eosinophilic Granulomatosis with Polyangiitis Presenting as Acute Polyneuropathy Mimicking Guillain-Barre Syndrome
Joint Authors
Camara-Lemarroy, Carlos Rodrigo
Infante-Valenzuela, Adrian
Villareal-Montemayor, Hector J.
Soto-Rincon, Carlos A.
Davila-Olalde, Javier A.
Villareal-Velazquez, Hector J.
Source
Case Reports in Neurological Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-23
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Eosinophilic granulomatosis with polyangiitis (EGPA) is a small-vessel vasculitis associated with antineutrophil cytoplasmic antibodies (ANCAs) which commonly affects the peripheral nervous system.
A 38-year-old female with a history of asthma presented with a 2-week history of bilateral lower extremity paresthesias that progressed to symmetric ascending paralysis.
Nerve conduction studies could not rule out Guillain-Barre syndrome (GBS) and plasmapheresis was considered.
Her blood work revealed marked eosinophilia (>50%), she had purpuric lesions in her legs, and a head magnetic resonance image showed evidence of pansinusitis.
Coupled with a history of asthma we suspected EGPA-associated neuropathy and started steroid treatment.
The patient showed rapid and significant improvement.
ANCAs were later reported positive.
ANCA-associated vasculitides present most often as mononeuritis multiplex, but they can mimic GBS and should always be considered in the differential diagnosis, since the treatment strategies for these conditions are radically different.
American Psychological Association (APA)
Camara-Lemarroy, Carlos Rodrigo& Infante-Valenzuela, Adrian& Villareal-Montemayor, Hector J.& Soto-Rincon, Carlos A.& Davila-Olalde, Javier A.& Villareal-Velazquez, Hector J.. 2015. Eosinophilic Granulomatosis with Polyangiitis Presenting as Acute Polyneuropathy Mimicking Guillain-Barre Syndrome. Case Reports in Neurological Medicine،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059077
Modern Language Association (MLA)
Camara-Lemarroy, Carlos Rodrigo…[et al.]. Eosinophilic Granulomatosis with Polyangiitis Presenting as Acute Polyneuropathy Mimicking Guillain-Barre Syndrome. Case Reports in Neurological Medicine No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1059077
American Medical Association (AMA)
Camara-Lemarroy, Carlos Rodrigo& Infante-Valenzuela, Adrian& Villareal-Montemayor, Hector J.& Soto-Rincon, Carlos A.& Davila-Olalde, Javier A.& Villareal-Velazquez, Hector J.. Eosinophilic Granulomatosis with Polyangiitis Presenting as Acute Polyneuropathy Mimicking Guillain-Barre Syndrome. Case Reports in Neurological Medicine. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059077
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059077