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Related Experiment Videos

Brachial plexopathy associated with diffuse edematous scleroderma.

L Mouthon1, C Halimi, J C Dussaule Md

  • 1Department of Internal Medicine, Hôpital Avicenne and Paris-Nord University, 125, route de Stalingrad, 93000 Bobigny, France. luc.mouthon@avc.ap-hop-paris.fr

Annales De Medecine Interne
|August 3, 2000
PubMed
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Systemic sclerosis (SSc) rarely affects the peripheral nervous system (PNS). This case study shows successful treatment of brachial plexus involvement in SSc using cyclophosphamide therapy.

Area of Science:

  • Rheumatology
  • Neurology
  • Dermatology

Background:

  • Systemic sclerosis (SSc) is a rare autoimmune disease affecting connective tissues.
  • Peripheral nervous system (PNS) involvement in SSc is uncommon, typically presenting as nerve entrapment.
  • Previous reports of SSc-related brachial plexus involvement are extremely limited.

Observation:

  • A 61-year-old woman with limited cutaneous SSc developed new-onset motor deficiency in her left arm.
  • The neurological deficit occurred alongside diffuse edematous skin changes.
  • No evidence of trauma or external compression of the brachial plexus was found.

Findings:

  • Intravenous pulse cyclophosphamide therapy was administered for six months.
  • Significant improvement in both skin manifestations and neurological deficits was observed.

Related Experiment Videos

  • This suggests a potential therapeutic response to cyclophosphamide in SSc-associated brachial plexopathy.
  • Implications:

    • This case highlights a rare presentation of SSc affecting the brachial plexus.
    • Cyclophosphamide therapy may be a viable treatment option for such neurological complications.
    • Further research is warranted to understand the mechanisms and efficacy of immunosuppressive therapy in SSc-related neuropathy.