Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Multifocal Conduction Block in a Patient with Sarcoid Neuropathy: Successful Treatment with Intravenous Immunoglobulin
Yu KonoShusaku OmotoRenpei SengokuHiroshi YaguchiMasahiro SonooKiyoharu InoueSoichiro Mochio
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JOURNALS OPEN ACCESS

2013 Volume 52 Issue 9 Pages 999-1002

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Abstract

A 54-year-old-woman with sarcoidosis presented with progressive symmetric, predominantly distal weakness and sensory dysfunction with areflexia in all four limbs. Nerve conduction studies showed multifocal conduction blocks in several nerves. Oral steroids were ineffective; however, intravenous immunoglobulin (IVIG) therapy rapidly and repeatedly improved the patient's neurologic symptoms with a resolution of the conduction blocks. Multifocal conduction blocks are not frequently reported in patients with sarcoid neuropathy, but they may respond to early treatment with IVIG.

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© 2013 by The Japanese Society of Internal Medicine
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