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Published on: June 25, 2019
Paraproteinemias and Peripheral Nerve Disease
Yaowaree Leavell1, Susan C Shin1
1Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
This review covers major paraprotein-related peripheral neuropathies, detailing their clinical features, diagnosis, and treatment. It highlights key conditions like monoclonal gammopathy and amyloidosis for better understanding and management.
Area of Science:
- Neurology
- Hematology
- Genetics
Background:
- Paraprotein-related peripheral neuropathies are a diverse group of disorders.
- Accurate diagnosis and management are crucial for patient outcomes.
Purpose of the Study:
- To provide a comprehensive overview of major paraprotein-related peripheral neuropathies.
- To detail clinical features, diagnosis, and treatment strategies for these conditions.
Main Methods:
- Literature review of paraprotein-related peripheral neuropathies.
- Synthesis of information on epidemiology, demographics, systemic findings, and electrophysiologic features.
- Review of pharmacologic treatments for transthyretin amyloid polyneuropathy.
Main Results:
- Overview of clinical presentation, diagnostic criteria, and treatment options for conditions including monoclonal gammopathy of undetermined significance, Waldenström macroglobulinemia, POEMS syndrome, multiple myeloma, transthyretin amyloidosis, and light chain amyloidosis.
- Detailed presentation of epidemiological and electrophysiologic characteristics for each neuropathy.
- Summary of current pharmacologic treatments for transthyretin amyloid polyneuropathy.
Conclusions:
- Paraprotein-related peripheral neuropathies encompass a range of disorders with distinct features.
- Understanding these features is essential for timely diagnosis and effective treatment.
- Further research into targeted therapies may improve patient prognosis.
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