カイダ ケンイチ   KAIDA Kenichi
  海田 賢一
   所属   埼玉医科大学  医学部 総合医療センター 脳神経内科
   職種   教授
論文種別 学術雑誌(原著)
言語種別 英語
査読の有無 査読あり
表題 Successful treatment of infliximab-associated immune-mediated sensory polyradiculopathy with intravenous immunoglobulin
掲載誌名 正式名:Journal of Clinical Neuroscience
ISSNコード:09675868
巻・号・頁 20(11),1618-1619頁
著者・共著者 Hiroya Naruse,Yu Nagashima,Risa Maekawa,Takafumi Etoh,Ayumi Hida,Jun Shimizu,Ken-Ichi Kaida,Yasushi Shiio
発行年月 2013/11
概要 Infliximab, a tumor necrosis factor-alpha antagonist, is used to treat many inflammatory diseases. Various forms of demyelinating neuropathies have been reported as neurological complications associated with infliximab use. There have been few reports of pure sensory neuropathy associated with infliximab. We report the clinical, electrophysiological, and pathological findings of a patient with subacute sensory polyradiculopathy 1 month after infliximab therapy for psoriasis vulgaris. Immune-mediated pathogenesis was suggested by positive anti-ganglioside antibodies and rapid response to intravenous immunoglobulin. This is the first reported case of sensory polyradiculopathy with positive anti-ganglioside antibodies following infliximab therapy. Our findings suggest the clinical importance of immunological investigations and treatment in demyelinating neuropathies following infliximab therapy. © 2013 Elsevier Ltd. All rights reserved.
DOI 10.1016/j.jocn.2012.12.016
PMID 23906523