Chronic Inflammatory Demyelinating Polyneuropathy Due to the Administration of Pegylated Interferon .ALPHA.-2b: A Neuropathology Case Report
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- Shiga Kensuke
- Department of Neurology, Kyoto Prefectural University of Medicine, Japan
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- Tanaka Eijiroh
- Department of Neurology, Kyoto Prefectural University of Medicine, Japan
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- Isayama Reina
- Department of Neurology, Kyoto Prefectural University of Medicine, Japan
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- Mizuno Toshiki
- Department of Neurology, Kyoto Prefectural University of Medicine, Japan
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- Itoh Kyoko
- Department of Molecular Pathology, Kyoto Prefectural University of Medicine, Japan
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- Nakagawa Masanori
- Department of Neurology, Kyoto Prefectural University of Medicine, Japan
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Abstract
We report a 35-year-old man who developed weakness in his extremities five months after pegylated interferon α (IFNα)-2b was administered. The serum tumor necrosis factor-α (TNFα) was elevated and nerve conduction studies revealed demyelination both in the distal and intermediate segments. The sural nerve pathology showed mild demyelinating process. The cessation of IFNα and administration of intravenous immunoglobulin improved both his clinical symptoms and the temporal dispersion in motor nerve conduction study. IFNα-induced CIDP is presumably a transient immunological condition that requires immunomodulatory therapy. The elevated serum TNFα may implicate the degree of downstream autoimmunitiy induced by IFNα.<br>
Journal
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- Internal Medicine
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Internal Medicine 51 (2), 217-221, 2012
The Japanese Society of Internal Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390001204870319360
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- NII Article ID
- 130002062064
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- ISSN
- 13497235
- 09182918
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- Text Lang
- en
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed