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	Painful small-fibre multifocal mononeuropathy and local myositis following influenza B infection
掲載誌名	正式名：Journal of the Neurological Sciences ISSNコード：0022510X
巻・号・頁	151(1),103-106頁
著者・共著者	Ken-Ichi Kaida,Keiko Kamakura,Toshihiro Masaki,Masamichi Okano,Naokazu Nagata,Kiyoharu Inoue
発行年月	1997/10
概要	A 47-year-old man experienced multifocal mononeuropathy and putative ganglionopathy associated with influenza B infection, characterized by aching and dysesthesia in the right arm and left leg with normal deep sense. He displayed muscle atrophy in the affected limbs, which might have resulted from local myositis or a disorder similar to neuralgic amyotrophy. Sural nerve biopsy revealed a severe loss of unmyelinated and thinly myelinated fibres, consistent with a small fibre neuropathy, without evidence of angiopathy or inflammation. We could not detect any other cause of the neuropathy except influenza B. In this case, it may be inferred that small- diameter neurons in the dorsal root ganglia and thinly- or nonmyelinated fibres were selectively involved through a post-infectious immune process. To our knowledge, small fibre neuropathy following influenza B has never been reported.
DOI	10.1016/S0022-510X(97)00085-3
PMID	9335019