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[A case of neuralgic amyotrophy with antiganglioside antibody].
[neuralgic amyotrophy]
A
54
-
year
-old-man
experienced
pain
from
his
left
shoulder
to
his
left
arm
and
had
difficulty
in
lifting
his
arm
after
a
febrile
episode
.
Three
weeks
after
the
onset
,
he
was
admitted
to
our
hospital
.
Neurological
examination
demonstrated
weakness
and
atrophy
of
the
left
deltoid
muscle
.
Deep
tendon
reflexes
were
normal
and
no
pathological
reflexes
were
elicited
.
CSF
total
protein
was
slightly
increased
.
The
occurrence
rate
of
F-
waves
was
decreased
in
the
left
upper
limb
.
Magnetic
resonance
imaging
(
MRI
)
study
of
the
cervical
cord
and
brachial
plexus
with
and
without
Gadolinium
infusion
showed
no
abnormalities
.
Serological
study
showed
that
IgM
anticytomegalovirus
antibody
was
positive
,
and
that
serum
IgM
anti-
GalNAc-GD
1
a
antibody
and
IgM
anti-
GM
2
antibody
were
positive
.
Symptoms
were
improved
after
treatment
with
mecobalamin
,
1
.
5
mg
/
day
.
This
case
was
considered
neuralgic
amyotrophy
after
cytomegalovirus
infection
.
The
antiganglioside
antibodies
may
play
some
role
in
its
pathogenesis
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated