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[Idiopathic lumbosacral plexopathy].
[neuralgic amyotrophy]
Lumbosacral
plexopathy
is
the
equivalent
in
the
lower
limbs
of
neuralgic
amyotrophy
(
also
known
as
Parsonage-
Turner
syndrome
)
in
the
upper
limbs
.
It
is
well-known
in
patients
with
diabetes
mellitus
,
when
it
is
known
as
Bruns
-
Garland
syndrome
.
We
report
the
case
of
a
47
-
year
-old
woman
who
developed
a
unilateral
neuropathy
of
the
leg
,
neither
radicular
nor
truncal
in
origin
.
The
slow
continuous
improvement
was
not
affected
by
any
of
the
treatments
administered
.
Lumbosacral
plexopathy
is
characterized
by
intense
pain
in
one
or
both
legs
,
associated
with
motor
and
sensory
deficits
.
Recovery
is
usually
slow
(
6
to
36
months
)
and
often
incomplete
.
The
electrodiagnostic
examination
shows
important
acute
motor
and
sensory
axonal
loss
,
characterized
by
denervation
and
low
-amplitude
sensory
action
potential
.
Treatment
generally
combines
analgesics
with
narcotic
agents
,
neuropathic
pain
medication
,
short
-term
corticosteroids
,
and
rehabilitation
.
In
the
most
severe
cases
,
long
-term
corticosteroids
and
other
immunosuppressive
agents
may
be
required
.
This
diagnosis
can
not
be
reached
until
all
other
radicular
,
plexal
and
truncal
origins
have
been
ruled
out
.
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