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AAEM minimonograph #38: Neuropathies in connective tissue disease
Author(s) -
Olney Richard K.
Publication year - 1992
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.880150502
Subject(s) - medicine , mononeuritis multiplex , mixed connective tissue disease , rheumatoid arthritis , connective tissue disease , connective tissue , pathology , connective tissue disorder , dermatology , vasculitis , systemic disease , dermatomyositis , arteritis , polyneuropathy , mononeuropathy , systemic vasculitis , necrotizing vasculitis , disease , peripheral neuropathy , autoimmune disease , diabetes mellitus , endocrinology
Neuropathies are common in patients with known or suspected connective tissue disease. A vasculitic mononeuropathy multiplex is often seen in patients initially presenting with polyarteritis nodosa or developing arteritis as a complication of rheumatoid arthritis. However, vasulitic neuropathy may become confluent and present as as distal symmetrical polyneuropathy or occur without systemic necrotizing vasculitis. Distal symmetrical polyneuropathies without associated vasculitis are also common in many connective tissue diseases. Compression neuropathies, especially carpal tunnel syndrome, occur with increased frequency in rheumatoid arthritis. Finally, certain neurpathies may be the major presenting feature of particular connective tissue diseases. For example, trigeminal neuropathy often heralds the onset of systemic sclerosis or mixed connective tissue disease, and sensory neuronopathy may be the initial presenting feature of Sjögren's syndrome.