Chronic inflammatory polyneuropathy associated with ulcerative colitis: a reported case in literature
Keywords:Chronic inflammatory demyelinating polyneuropathy, Guillain-BarrÃ© syndrome, Nerve biopsy, Ulcerative colitis, inflammatory bowel disease, case report, Public Healt
Background: Peripheral neuropathy is known to be related to inflammatory bowel disease and it is one of the most frequently reported neurologic complications. Various studies have found peripheral nervous system complications, rather than central nervous system involvement, to be predominant. In the literature, there are a few cases of inflammatory polyneuropathy developed in the course of ulcerative colitis : 5 cases of Guillain-BarrÃ© syndrome, one case of chronic inflammatory demyelinating polyneuropathy, 10 cases of neuropathy and one case of perineuritis. Case presentation: We describe a case of chronic inflammatory polyneuropathy associated with ulcerative colitis. Conclusion: Peripheral neuropathy is not a common manifestation of IBD, highlighting the need for careful exclusion of other causes of neuropathy when both conditions are encountered in clinical practice.
Zimmerman J, Steiner I, Gavish D, Argov Z . Guillain-BarrÃ© Syndrome: a possible extraintestinal manifestation of ulcerative colitis. J Clin Gastroenterol 1985, 7: 301-303.
Chad DA, Smith TW, DeGirolami U, Hammer K . Perineuritis and ulcerative colitis. Neurology 1986, 36:1377-1379.
Konagaya Y, Konagaya M, Takayanagi T. Chronic polyneuropathy and ulcerative colitis. Jpn J Med 1989, 28:72-74.
Lossos A, River Y, Eliakim A, Steiner I . Neurologic aspects of inflammatory bowel disease. Neurology 1985, 45:416-421.
Roca B, Moreno I, Meneu E . Ulcerative colitis and acquired demyelinating neuropathy (Guillain-BarrÃ© syndrome). Neth J Med 1999, 54: 129-130.
Greco F, Pavone P, Falsaperla R, Sorge G.J. Peripheral neuropathy as first sign of ulcerative colitis in a child. Clin Gastroenterol. 2004, Feb;38(2):115-7.
YeÅŸilova Z, Naharci I, Uygun A, UlaÅŸ HU, DaÄŸalp K. Motor axonal polyneuropathy in the course of ulcerative colitis: a case report. Turk J Gastroenterol. 2006 Mar;17(1):58-61.
Zezos P, Mpoumponaris A, Koutsopetras P, Vounotrypidis P, Molyvas E, Vadikolias K, Moschos I, Kouklakis. Acute motor sensory polyneuropathy (AMSAN) complicating active ulcerative colitis with a patchy distribution. G.Acta Gastroenterol Belg. 2007 Apr-Jun;70(2):226-30.
Atrash HK, Carpentier R. The evolving role of public health in the delivery of health care. J. Hum. Growth Dev. 2012; 22(3): 396-399
Moris G. Inflammatory bowel disease: an increased risk factor for neurologic complications.World J Gastroenterol 2014, Feb 7;20(5):1228-37.
Barohn RJ, Kissel JT, Warmolts JR, Mendell JR . Chronic inflammatory demyelinating polyradiculoneuropathy : clinical characteristics, course, and recommendations for diagnostic criteria. Arch Neurol 1989, 46:878-884.
Bamford NS, Trojaborg W, Sherbany AA, De Vivo DC . Congenital Guillain-BarrÃ© syndrome associated with maternal inflammatory bowel disease is responsive to intravenous immunoglobulin. Eur J Ped Neurol 2002, 6:115-119.
F. A. A. Gondim, T. H. Brannagan, H. W. Sander, R. L. Chin, N. Latov. Peripheral neuropathy in patients with inflammatory bowel disease. Brain. 2005 Apr;128(Pt 4):867-79.
Krystallis CS, Kamberoglou DK, Cheilakos GB, Maltezou MN, Tzias VD. Guillain-BarrÃ© syndrome during a relapse of ulcerative colitis: a case report. Inflamm Bowel Dis 2010 Apr;16(4):555-6.
Figueroa JJ, Loftus EV Jr, Harmsen WS, Dyck PJ, Klein CJ. Peripheral neuropathy incidence in inflammatory bowel disease: a population-based study. Neurology. 2013, Apr 30;80(18):1693-7.
King RHM . Atlas of peripheral nerve pathology, 1999 Arnold, London, pp 1-217.
Podolsky DK . Inflammatory bowel disease. N Engl J Med 2002, 347:417-429.
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