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Acute demyelinating polyneuropathy

MedGen UID:
870486
Concept ID:
C4024933
Anatomical Abnormality
HPO: HP:0007131

Definition

Acute progressive areflexic weakness and mild sensory changes resulting from myelin breakdown and axonal degeneration. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAcute demyelinating polyneuropathy

Conditions with this feature

Guillain-Barre syndrome, familial
MedGen UID:
901636
Concept ID:
C4083008
Disease or Syndrome
Guillain-Barre syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy characterized most commonly by symmetric limb weakness and loss of tendon reflexes. It is a putative autoimmune disorder presenting after an infectious illness, most commonly Campylobacter jejuni, a gram-negative bacterium that causes acute enteritis (Yuki and Tsujino, 1995; Koga et al., 2005). Approximately 1 in 1,000 individuals develops GBS after C. jejuni infection (Nachamkin, 2001). Although rare familial cases have been reported, GBS is considered to be a complex multifactorial disorder with both genetic and environmental factors rather than a disorder following simple mendelian inheritance (Geleijns et al., 2004).

Professional guidelines

PubMed

Shorer Z
Eur J Paediatr Neurol 1997;1(1):3-5. doi: 10.1016/s1090-3798(97)80003-7. PMID: 10728185

Recent clinical studies

Etiology

Gurwood AS, Drake J
Optometry 2006 Nov;77(11):540-6. doi: 10.1016/j.optm.2006.06.014. PMID: 17145565
Bain PG, Harwood G, Holder GE, Evans BM
J Neurol Neurosurg Psychiatry 1992 Jan;55(1):68-70. doi: 10.1136/jnnp.55.1.68. PMID: 1312583Free PMC Article

Diagnosis

Xucla-Ferrarons T, Turon-Sans J, Caballero-Avila M, Cortes-Vicente E, Rojas-Garcia R
J Peripher Nerv Syst 2023 Mar;28(1):125-129. Epub 2023 Jan 9 doi: 10.1111/jns.12525. PMID: 36567442
Aladawi M, Elfil M, Abu-Esheh B, Abu Jazar D, Armouti A, Bayoumi A, Piccione E
Can J Neurol Sci 2022 Jan;49(1):38-48. Epub 2021 May 5 doi: 10.1017/cjn.2021.102. PMID: 33949300Free PMC Article
Diez-Porras L, Vergés E, Gil F, Vidal MJ, Massons J, Arboix A
Neuromuscul Disord 2020 Oct;30(10):859-861. Epub 2020 Aug 12 doi: 10.1016/j.nmd.2020.08.354. PMID: 32912716Free PMC Article
Gurwood AS, Drake J
Optometry 2006 Nov;77(11):540-6. doi: 10.1016/j.optm.2006.06.014. PMID: 17145565
Newton HB
Am Fam Physician 1995 Feb 1;51(2):387-98. PMID: 7840035

Therapy

Garg RK, Paliwal VK
Neurol Sci 2022 Jan;43(1):3-40. Epub 2021 Oct 31 doi: 10.1007/s10072-021-05662-9. PMID: 34719776Free PMC Article
Storm S, Weiss MD
Muscle Nerve 2003 May;27(5):631-5. doi: 10.1002/mus.10366. PMID: 12707986
Créange A, Temam G, Lefaucheur JP
Autoimmunity 1999;30(3):143-6. doi: 10.3109/08916939908993848. PMID: 10520897
Greenberg SA
Muscle Nerve 1996 Dec;19(12):1611-3. doi: 10.1002/(SICI)1097-4598(199612)19:12<1611::AID-MUS13>3.0.CO;2-U. PMID: 8941278
Stein CA, LaRocca RV, Thomas R, McAtee N, Myers CE
J Clin Oncol 1989 Apr;7(4):499-508. doi: 10.1200/JCO.1989.7.4.499. PMID: 2926472

Prognosis

Aladawi M, Elfil M, Abu-Esheh B, Abu Jazar D, Armouti A, Bayoumi A, Piccione E
Can J Neurol Sci 2022 Jan;49(1):38-48. Epub 2021 May 5 doi: 10.1017/cjn.2021.102. PMID: 33949300Free PMC Article
Gurwood AS, Drake J
Optometry 2006 Nov;77(11):540-6. doi: 10.1016/j.optm.2006.06.014. PMID: 17145565
Koc M, Ozalp N, Zulfikaroglu B
J Int Med Res 2002 Nov-Dec;30(6):601-4. doi: 10.1177/147323000203000609. PMID: 12526288
Newton HB
Am Fam Physician 1995 Feb 1;51(2):387-98. PMID: 7840035
Millette TJ, Subramony SH, Wee AS, Harisdangkul V
Eur Neurol 1986;25(6):397-402. doi: 10.1159/000116042. PMID: 3024988

Clinical prediction guides

Min JH, Lee DK, Lee S, Kim K, Jeon ES, Jang HR, Kim BJ
Intern Med 2013;52(13):1513-6. Epub 2013 Jul 1 doi: 10.2169/internalmedicine.52.9335. PMID: 23812201

Recent systematic reviews

Aladawi M, Elfil M, Abu-Esheh B, Abu Jazar D, Armouti A, Bayoumi A, Piccione E
Can J Neurol Sci 2022 Jan;49(1):38-48. Epub 2021 May 5 doi: 10.1017/cjn.2021.102. PMID: 33949300Free PMC Article

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