Chronic inflammatory demyelinating polyneuropathy: case report

Authors

DOI:

https://doi.org/10.11606/issn.1679-9836.v102i3e-201779

Keywords:

Polyneuropathies, Guillain-Barre Syndrome, Mononeuropathies, Neurology, Medicine

Abstract

Chronic Inflammatory Demyelinating Polyneuropathy is a progressive, disabling, and rare disease, which requires greater understanding for a better propaedeutic and therapeutic approach, providing a better quality of life to the patient. The aim of this study is to report the case of a patient 48-year-old male patient seen in a Basic Health Unit with a complaint of loss of movement of the 4th and 5th fingers of both hands, associated with loss of upper limb strength for two months. The patient was diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy by a specialized service and started treatment with immunoglobulin. He is currently clinically stable and on methylprednisolone. The current treatment is based on the reduction of the inflammatory process and consequent improvement of symptoms. However, there is no robust evidence indicating the better therapeutic regimen among the available options.

Downloads

Download data is not yet available.

References

Koller H, Kieseier BC, Jander S, Hartung HP. Chronic Inflammatory Demyelinating Polyneuropathy. New Engl J Med. 2005; 352(13):1343-1356. doi: https://doi.org/10.1056/NEJMra041347.

Costa FRM. A. Polineuropatia Desmielinizante Inflamatória Crónica: revisão bibliográfica. Covilhã: Universidade da Beira Interior; 2015. Disponível em: https://ubibliorum.ubi.pt/bitstream/10400.6/5122/1/4026_7811.pdf.

Lehmann HC, Burke D, Kuwabara S. Chronic inflammatory demyelinating polyneuropathy: update on diagnosis, immunopathogenesis and treatment. J Neurol Neurosurg Psychiatry. 2019;90(9):981-987. doi: https://doi.org/10.1136/jnnp-2019-320314.

Meireles ALF. Polineuropatia desmielinizante inflamatória crônica – uma revisão narrativa. Rev Med (São Paulo). 2021;100(1):57-61. doi: https://doi.org/10.11606/issn.1679-9836.v100i1p57-61.

Thomas PK, Lascelles RG, Hallpike JF, Hewer RL. Recurrent and chronic relapsing Guillain-Barré polyneuritis. Brain. 1969; 92(3): 589-606. doi: https://doi.org/10.1093/brain/92.3.589.

Dick PJ, Lais AC, Ohta M, Bastron JA, Okazaki H, Groover RV. Chronic inflammatory polyradiculoneuropathy. Mayo Clin Proc, 1975;11(50):621-37.

Nobile-Orazio E. Chronic inflammatory demyelinating polyradiculoneuropathy and variants: where we are and where we should go. J Peripheral Nerv Syst. 2014;19(1):2-13. doi: https://doi.org/10.1111/jns5.12053.

Mathey EK, Park SB, Hughes RAC, Pollard JD, Armati PJ, Barnett MH, Taylor BV, Dyck PJB, Kiernan MC, Lin CSY. Chronic inflammatory demyelinating polyradiculoneuropathy: from pathology to phenotype. J Neurol Neurosurg Psychiatry. 2015;86(9):973-85. doi: https://doi.org/10.1136/jnnp-2014-309697.

Dyck PJ, Litchy WJ, Kratz KM, Suarez GA, Low PA, Pineda AA, Windebank AJ, Karnes JL, O’Brien PC. A plasma exchange versus immune globulin infusion trial in chronic inflammatory demyelinating polyradiculoneuropathy. Ann Neurol. 1994;36(6):838-45. doi: https://doi.org/10.1002/ana.410360607.

Hahn AF, Bolton CF, Pillay N, Chalk C, Benstead T, Bril V, Shumak K, Vandervoort MK, Feasby TE. Plasma-exchange therapy in chronic inflammatory demyelinating polyneuropathy: a double-blind, sham-controlled, cross-over study. Brain. 1996;119(4):1055-66. doi: https://doi.org/10.1093/brain/119.4.1055.

Sreeni S, Lakshmi R. Chronic inflammatory demyelinating polyneuropathy: a case report. Res J Pharm Technol. 2016;9(12):2165-8. doi: https://doi.org/10.5958/0974-360X.2016.00439.X.

Saad TC, Pickrell WO, Payne G, Hamandi K. Chronic inflammatory demyelinating polyneuropathy: a rare cause of falls. BMJ Case Rep. 2019;12(12):1-4. doi: https://doi.org/10.1136/bcr-2019-231676.

Guerra AG, Cieto BB, Quoos C. Chronic inflammatory demyelinating polyneuropathy: case report during Internal Medicine Internship. Braz J Health Rev (Curitiba). 4(5):21348-57. doi: https://doi.org/10.34119/bjhrv4n5-225.

Sung JY, Tani J, Park SB., Kiernan MC, Lin CS. Early identification of 'acute-onset' chronic inflammatory demyelinating polyneuropathy. Brain. 2014;137(8):2155-63. doi: https://doi.org/110.1093/brain/awu158.

Oaklander AL, Lunn MP, Hughes RAM, Schaik, INV, Frost C, Chalk CH. Treatments for chronic inflammatory demyelinating polyradiculoneuropathy (CIDP): an overview of systematic reviews. Cochrane Database Syst Rev. 2017. 1(1): 1-33. doi: https://doi.org/10.1002/14651858.CD010369.pub2.

Published

2023-06-29

Issue

Section

Relato de Caso/Case Report

How to Cite

Hamamoto, A. K. ., Cunha, B. F. ., Koba, L. N. M., Martins, T. R., Bagio, T. M., & Lima, E. Z. de. (2023). Chronic inflammatory demyelinating polyneuropathy: case report. Revista De Medicina, 102(3), e-201779. https://doi.org/10.11606/issn.1679-9836.v102i3e-201779