CASE
REPORT Sensorimotor
polyneuropathy as an initial clinical manifestation of
sarcoidosis
Shinji Sato1 , Shigeru Nogawa1,
Michito Hirakata1, Hideko Iizuka1,
Akira Suwa1, Tsuneyo Mimori2 and
Yasuo Ikeda1
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| (1) |
Department of Internal
Medicine, Keio University School of Medicine, 35
Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan |
| (2) |
Department of Rheumatology
and Clinical Immunology, Kyoto University Graduate
School of Medicine, Kyoto, Japan |
Received: 11 August
2004 Accepted: 12 January 2005
Abstract A 45 year-old Japanese
woman developed numbness and tingling of both hands and
feet. Electrophysiological examination revealed sensorimotor
polyneuropathy. She was diagnosed as suffering from sarcoidosis
on the basis of the pathological findings from dermal
biopsy. Steroid therapy effectively improved the clinical
symptoms. Although sarcoid neuropathy is rare, this case
suggests sensorimotor polyneuropathy is an important symptom
of sarcoidosis and can represent the initial clinical
manifestation of the disease.
Key
words Axonal degeneration - Electromyography
(EMG) - Sarcoidosis - Sensorimotor polyneuropathy
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