Low Median Nerve Palsy as Initial Manifestation of Churg-Strauss Syndrome
- 주제(키워드) Anterior interosseous nerve syndrome , Churg-Strauss syndrome , steroid treatment , systemic vasculitis
- 등재 SCIE, SCOPUS
- 발행기관 W.B. Saunders
- 발행년도 2017
- URI http://www.dcollection.net/handler/ewha/000000155806
- 본문언어 영어
- Published As http://dx.doi.org/10.1016/j.jhsa.2016.12.005
- 저작권 이화여자대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
Anterior interosseous nerve (AIN) syndrome is typically characterized by forearm pain and partial or complete dysfunction of the AIN-innervated muscles. Although the exact etiology and pathophysiology of the disorder remain unclear, AIN syndrome is increasingly thought to be an inflammatory condition of the nerve rather than a compressive neuropathy because the symptoms often resolve spontaneously following prolonged observation. However, peripheral neuropathy can be 1 of the first symptoms of systemic vasculitis that needs early systemic immunotherapy to prevent extensive nerve damage. Churg-Strauss syndrome (CSS; eosinophilic granulomatosis with polyangiitis) is 1 type of primary systemic vasculitis that frequently damages the peripheral nervous system. CSS–associated neuropathy usually involves nerves of the lower limb, and few studies have reported on the involvement of the upper limb alone. We report on a rare case of low median nerve palsy as the initial manifestation of CSS. The patient recovered well with early steroid treatment for primary systemic vasculitis. © 2017 American Society for Surgery of the Hand
more