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Inicio Revista Colombiana de Reumatología Vasculitis linfomonocítica primaria de inicio tardío, estrictamente de nervio ...
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Vol. 16. Núm. 2.
Páginas 138-145 (junio 2009)
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Vol. 16. Núm. 2.
Páginas 138-145 (junio 2009)
Acceso a texto completo
Vasculitis linfomonocítica primaria de inicio tardío, estrictamente de nervio periférico
Primary Lymphocytic Vasculitis of late onset, Limited to the Peripheral Nerve
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2519
José Félix Restrepo1, Federico Rondón H.1, Carlos H. Colegial G.2, Gerardo Quintana L.1, Antonio Iglesias-Gamarra1
1 Facultad de Medicina. Unidad Académica de Reumatología. Universidad Nacional de Colombia
2 Facultad de Medicina. Unidad Académica de Patología. Universidad Nacional de Colombia
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Resumen

En este artículo presentamos los hallazgos de vasculitis estrictamente de nervio periférico en seis pacientes. Los hallazgos corresponden a una vasculitis que ocasiona una polineuropatía sensitivo-distal en guantes y medias cuyo infiltrado es de tipo linfo-monocítico, ausencia de necrosis fibrinoide, con un buen pronóstico, pocas recaídas y buena respuesta al tratamiento. Planteamos que esta patología debe tenerse en cuenta en el diagnóstico diferencial de las polineuropatías y mononeuritis múltiple. Se hace una revisión de la literatura.

Palabras clave:
vasculitis
neuropatía periférica
Summary

We present the finding of strictly peripheral nerve vascultis in six cases. The finding are secondary to a vasculitis that produce a stocking-glove sensitive-motor polyneuropathy, with an limphomonocytic infiltrate, absence of fibrinoid necrosis, good prognosis, low recurrences and an excellent response to treatment. We propose that this condition should be considered in the differential diagnosis of polyneuropathies and multiplex mononeuritis. A literature review is made.

Key words:
vasculitis
peripheral neuropathy
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