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[Case of neuralgic amyotrophy with anti GT1a antibody].
[neuralgic amyotrophy]
A
48
-
year
-old-man
had
intense
pain
in
the
neck
and
muscle
weakness
in
the
left
upper
limb
after
he
presented
low
grade
fever
and
appetite
loss
for
a
week
.
Several
days
later
,
he
developed
intense
pain
and
severe
muscle
weakness
in
bilateral
upper
limbs
.
Laboratory
examination
showed
elevated
liver
enzyme
levels
.
His
muscle
weakness
was
severe
in
the
right
upper
limb
and
was
moderate
in
the
left
upper
limb
.
Deep
tendon
reflexes
were
decreased
in
the
bilateral
upper
limbs
.
CSF
showed
albuminocytologic
dissiciation
.
A
diagnosis
of
neuralgic
amyotrophy
was
made
.
His
liver
dysfunction
improved
gradually
.
IgM
and
IgG
anti-
GT
1
a
antibodies
were
positive
.
Future
studies
are
required
to
elucidate
whether
anti-
GT
1
a
antibody
is
associated
with
the
primary
pathophysiology
of
neuralgic
amyotrophy
.
Diseases
Validation
Diseases presenting
"muscle weakness"
symptom
alexander disease
canavan disease
coats disease
cohen syndrome
cystinuria
familial mediterranean fever
focal myositis
inclusion body myositis
neuralgic amyotrophy
pyomyositis
severe combined immunodeficiency
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
von hippel-lindau disease
This symptom has already been validated