Peripheral Neuropathy Associated With Immunoglobulin Disorders An Immunological and Ultrastructural Study
1981; Springer Nature; Linguagem: Inglês
10.1007/978-3-642-81553-9_76
ISSN0065-1435
AutoresE. Nardelli, Sergio Pizzighella, Giuseppe Tridente, N. Rizzuto,
Tópico(s)Inflammatory Myopathies and Dermatomyositis
ResumoLight-, electron microscopic and immunopathological findings in a nerve biopsy of a patient with peripheral neuropathy associated with monoclonal gammopathy are reported. Loss of fibers, Wallerian-like degeneration and segmental demyelination were the most important features observed in light microscopy. In E.M. widening of the peripheral lamellae of myelin sheaths and occasional aspects of hypermyelination were seen. Immunoperoxidase study showed binding of IgM (k light chain) on the myelin sheath. The possible pathogenetic implications of these findings are discussed.
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