사르코이드증에 동반된 다발신경병증

Sensorimotor Polyneuropathy Associated with Sarcoidosis

  • 안석원 (서울대학교 의과대학 신경과학교실) ;
  • 김동욱 (서울대학교 의과대학 신경과학교실) ;
  • 홍윤호 (서울대학교 의과대학 신경과학교실) ;
  • 이광우 (서울대학교 의과대학 신경과학교실)
  • Ahn, Seog-Weon (Department of neurology, Seoul national University Hospital) ;
  • Kim, Dong-Wook (Department of neurology, Seoul national University Hospital) ;
  • Hong, Yoon-Ho (Department of neurology, Seoul national University Hospital) ;
  • Lee, Kwang-Woo (Department of neurology, Seoul national University Hospital)
  • 발행 : 2003.05.10

초록

Sarcoidosis is a multisystemic granulomatous disease of unknown etiology ogenesis, and most frequently presented with bilateral hilar lymphadenopathy, pulmonary infiltration, skin and eye lesion. However, neurological involvement including peripheral neuropathy is relatively rare. We report a patient who had sensorimotor polyneuropathy without other systemic symptoms or organ involvements frequently reported in sarcoidosis. Laboratory investigation suggestive of sarcoidosis lead to sural nerve biopsy for confirmation, which demonstrated noncaseating granulomatous changes. Sarcoidosis shoud be included in the differential diagnosis in subacute polyneuropathy even if there is no usual symptoms or signs suggestive of the systemic disease.

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