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Medicine

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Neurology

Question
11 out of 25
 

Mononeuritis multiplex is seen in?



A PAN
B RA

C DM
D All

Ans. D

All

Causes of mononeuritis multiplex

1). Classic polyarteritis nodosa

2). Mixed connective tissue disease

3). Hypersensitivity angitis

4). Leprosy

5). Microscopic polyangiitis

6). Churg Strauss

7). Sjögren syndrome

8). Amyloidosis

9). RA

10). Wegener’s granulomatosis

11). Diabetes

12). Mixed cryoglobulinemia

13). SLE

Important Points: The common peroneal nerve is affected in ~75% of patients with vasculitic neuropathy; symptoms consist of a painful foot drop. The ulnar, median, and radial nerves may also be involved.

Extra Edge:

1). Insulin neuritis describes a painful neuropathy seen with initiation of insulin treatment for diabetes. The clinical presentation is similar to the acute painful neuropathy of diabetes, and most patients improve.

2). Pyridoxine toxicity (excess of pyridoxine) can cause peripheral neuropathy.

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