Demyelinating Sarcoid Polyneuropathy With Reversible Conduction Block: A Case‐Report

ABSTRACT The pathomechanism of sarcoid polyneuropathy remains unknown though different hypotheses are discussed. A 57‐year‐old female patient presented with painful paresthesia and progressive weakness of the lower extremities. Intravenous immune globulin therapy for presumed chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) failed to control disease activity. Glucocorticoid pulse therapy was associated with rapid improvement of the neurological symptoms and resolved the conduction block, which indicates inflammatory processes involved in sarcoid polyneuropathy pathogenesis.

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Publication Details

Journal
Neurology and Clinical Neuroscience
Published
2025-05-28
DOI
https://doi.org/10.1111/ncn3.70024
Primary Topic
Sarcoidosis and Beryllium Toxicity Research
Type
article
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article

Demyelinating Sarcoid Polyneuropathy With Reversible Conduction Block: A Case‐Report

Robert Stingele, Werner Stenzel, Nikolas Ruffer, Vasileios‐Periklis Stamatellos et al.
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Neurology and Clinical Neuroscience
Sarcoidosis and Beryllium Toxicity Research
article

Demyelinating Sarcoid Polyneuropathy With Reversible Conduction Block: A Case‐Report

Robert Stingele, Werner Stenzel, Nikolas Ruffer, Vasileios‐Periklis Stamatellos, Almut Barthel, G. Ulm, Stanislav Svergun
article en

Abstract

ABSTRACT The pathomechanism of sarcoid polyneuropathy remains unknown though different hypotheses are discussed. A 57‐year‐old female patient presented with painful paresthesia and progressive weakness of the lower extremities. Intravenous immune globulin therapy for presumed chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) failed to control disease activity. Glucocorticoid pulse therapy was associated with rapid improvement of the neurological symptoms and resolved the conduction block, which indicates inflammatory processes involved in sarcoid polyneuropathy pathogenesis.

Neurology and Clinical NeuroscienceVol. 13(4)
Universität Hamburg (DE), Humboldt-Universität zu Berlin (DE), University Medical Center Hamburg-Eppendorf (DE), DRK Kliniken Berlin (DE), Freie Universität Berlin (DE), Charité - Universitätsmedizin Berlin (DE)
Openalex Percentile: Top 84%
Sarcoidosis and Beryllium Toxicity Research
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