Clinical Analysis on 5 Misdiagnosed Cases of Vasculitic Peripheral Neuropathies
LI Ping
ZHANG Qiao-lian
LI Shuang-ying
Abstract：Objective To explore the key points of diagnosis and treatment of vasculitic peripheral neuropathies ( VPN) , put forward measures to prevent misdiagnosis of this disease and reduce misdiagnosis rate. Methods Clinical data of 5 misdiagnosed cases of VPN in our hospital were retrospectively analyzed. Results All the patients suffered from periph-eral neuropathy. Single nerve (1 case) or more nerves (4 cases) were damaged. The main symptoms consisted of numbness, pain, muscle weakness in legs and arms, walking instability, and concurrent damage to other organs. They were misdiagnosed as cerebral infarction (1 case), encephalitis (1 case), peripheral neuritis (2 cases), and lumbar disease (1 case). Finally this disorder was diagnosed by electromyography and auto-antibody detection. The primary diseases included Sjogren 's Syn-drome(SS) in 2 cases, ANCA associated vasculitis-microscopic polyangitis (MPA) in 1 case, rheumatoid arthritis(RA) 1 case, undifferentiated connective tissue diseases( UCTD) in 1 case. The prognosis of 4 cases was good after treatment of glu-cocorticoids and immunosuppressant. There was 1 case of death. Conclusion The clinical manifestations of vasculitic periph-eral neuropathies are usually complexed and not specified. To reduce the misdiagnosis rate, more knowledge of this disease should be learned, auto-antibody detection can help in early diagnosis.
Keywords：VasculiticPeripheral neuropathyMisdiagnosisAutoantibodyPeripheral neuritisCerebral infarction
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 17-19 )