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Brain, Vol. 110, No. 2, 533-549, 1987
© 1987 Oxford University Press

research-article

PERIPHERAL SENSORIMOTOR AND AUTONOMIC NEUROPATHY ASSOCIATED WITH SYSTEMIC LUPUS ERYTHEMATOSUS

CLINICAL, PATHOLOGICAL AND IMMUNOLOGICAL FEATURES

P. A. McCOMBE, J. G. McLEOD, J. D. POLLARD, Y. -P. GUO and T. J. INGALL

Departments of Medicine, University of Sydney Sydney, NSW, Australia

Correspondence to: Correspondence to: Professor J. G. McLeod, Department of Medicine, University of Sydney, NSW 2006, Australia

The clinical features and pathological findings in the sural nerves are described of 7 patients with peripheral neuropathy; in 4 cases the criteria for diagnosis of systemic lupus erythematosus (SLE) were satisfied and in 3 other cases there was serological evidence of an undifferentiated connective tissue disease, most probably SLE. The peripheral neuropathy was of a chronic sensorimotor type with predominantly sensory features and gradual onset. In 2 cases the presentation was asymmetric. One patient had autonomic dysfunction. The pathological findings in the biopsied sural nerves were those of axonal degeneration and vasculitis. In 6 nerves there was increased expression of Class II (Ia) antigen within the nerve fascicle, perineurium and within endothelial cells.

Received January 14, 1986. Revised April 29, 1986. Accepted May 13, 1986.


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