Top
30
Doctor insights on: Medicine For Chronic Inflammatory Demyelinating Polyneuropathy

Share
1

1
What is it if somebody has chronic inflammatory demyelinating polyneuropathy?

What is it if somebody has chronic inflammatory demyelinating polyneuropathy?

CIDP: This is an immune disorder of the peripheral nervous system, and involves an attack of the myelin coverings of mainly the motor nerves, but can be seen occasionally affecting sensory fibers also. Cidp can be controlled with steroids or ivig, but relapses can occur, and lifelong treatment is often required. ...Read more

2

2
Do most people who get chronic inflammatory demyelinating polyneuropathy have many symptoms?

Do most people who get chronic inflammatory demyelinating polyneuropathy have many symptoms?

Not subtle: CIDP is an immune neuropathy which may start insidiously, but rapidly develops into diffuse weakness causing difficulty with daily activities. Although the motor issues are usually the main manifestations, some tingling and numbness may occur, and variants may cause peripheral nerve pain, and imbalance. ...Read more

3

3
Does anyone have really mild chronic inflammatory demyelinating polyneuropathy, making diagnosis uncertain?

Does anyone have really mild chronic inflammatory demyelinating polyneuropathy, making diagnosis uncertain?

CIDP: Not unique to have diagnostic challenges to confirm cidp. Most cases create significant weakness, but early on, it may be difficult to confirm, as even nerve biopsies may not be helpful. Best to check EMG for characteristic findings. Spinal fluid protein elevation may help. ...Read more

5

5
What is chronic inflammatory demilinating polyneuropathy?

What is chronic inflammatory demilinating polyneuropathy?

Autoimmune disorder: A disorder mainly of peripheral motor nerves resulting in weakness of limbs but also facial muscles. It is caused by the body mistakenly attacking nerve coverings, and can be successfully treated and controlled with ivig, plasmapheresis, or less desired steroids. ...Read more

6

6
What is chronic inflammatory demyelating polyneuropathy and how is it treated?

What is chronic inflammatory demyelating polyneuropathy and how is it treated?

Immune process: Condition where the body's immune system attacks the coverings of the peripheral nerves (myelin), and causes diffuse weakness in arms and legs, and facial muscles on a chronic basis. Although steroids may be useful, better approach is chronic intravenous Immune Globulin every 3-4 weeks, or even plasmapheresis. The process can be fully reversed in many cases. ...Read more

7

7
A friend had chronic demyelinating polyneuropathy (cidp), then got chronic lymphocytic leukemia 2 years later. Is cidp paraneoplastic syndrome sometimes?

A friend had chronic demyelinating polyneuropathy (cidp), then got chronic lymphocytic leukemia 2 years later. Is cidp paraneoplastic syndrome sometimes?

Not likely: Chronic inflammatory demyelinating polyradiculopathy (cidp) is almost always an autoimmune condition incited by some antecedent infection--c. Jejuni, ebv, cmv, or another infection. Antibodies produced against the virus/ bacteria/ pathogen cross-react with the myelin sheath on the nerve roots, first causing guillain-barre (aidp), then later cidp. It's exceedingly rare that cancer could cause this. ...Read more

8

8
What are the tests for acute inflammatory polyneuropathy?

What are the tests for acute inflammatory polyneuropathy?

EMG and Spinal Fluid: Electromyography can support the clinical diagnosis, and spinal fluid protein elevation can add supportive data. Some blood studies may also be helpful. ...Read more

9

9
What sort of problem is acute inflammatory polyneuropathy?

What sort of problem is acute inflammatory polyneuropathy?

AIDP: "acute inflammatory demyelinating polyneuropathy (aidp) is an autoimmune process that is characterized by progressive areflexic weakness and mild sensory changes. Sensory symptoms often precede motor weakness. About 20% of patients end up with respiratory failure." for more see: http://emedicine. Medscape. Com/article/1169959-overview. ...Read more

10

10
What are the symptoms of acute inflammatory polyneuropathy?

What are the symptoms of acute inflammatory polyneuropathy?

CIDP: This is an immune disorder of the peripheral nervous system, and involves an attack of the myelin coverings of mainly the motor nerves, but can be seen occasionally affecting sensory fibers also. Cidp can be controlled with steroids or ivig, but relapses can occur, and lifelong treatment is often required.
Weakness in arms, legs, and face, most common. ...Read more

11

11
What is the definition or description of: Acute inflammatory polyneuropathy?

Neuropathy: Acute inflammatory polyneuropathy is an autoimmune syndrome that is associated with systemic inflammation that targets the nerves. The symptoms may vary but include numbness, tingling, weakness, pain, and local temperature changes. Patients may or may not have an elevated ERS or CRP. The condition may also be associated with other autoimmune diseases treated by neurologist and rheumatologists. ...Read more

12

12
Can a tetanus shot be harmful if you already have a nerve condition, such as demyelinating polyneuropathy?

Can a tetanus shot be harmful if you already have a nerve condition, such as demyelinating polyneuropathy?

NOT REALLY: I do not believe that tetanus shots provide any significant nerve damage risk to otherwise healthy pts, and there is NO evidence, or relationship to worsening of chronic demyelinating polyneuritis, after a tetanus injection. Do not worry, but do get treatment for this by regular IVIG infusions. ...Read more

13

13
What is best treatment for chronic inflammatory demyelinating polyneuropathy? Please advise the name of doctor in orange county ny.

What is best treatment for chronic inflammatory demyelinating polyneuropathy? Please advise the name of doctor in orange county ny.

IVIG by far: And the safest most purified form is Gamunex -c, starting at 2 gm/kg, and then given every 3-4 weeks at 1 gm/kg. I do not personally know a neurologist where you live, but the american academy of neurology does have a list of local members. ...Read more

14

14
Could statin drugs cause nerve damage (polyneuropathy)?

Nerve damage: There are case reports but no definitive studies that show that statins cause nerve damage or polyneuropathy. Often there are other causes for the neuropathy that can be explained by a careful history, blood work, and a nerve test by a neurologist. ...Read more

16

16
Can an allergist/immunologist ever help with chronic inflammatory polyneuropathy? Have seen neuro, but have been told I have IgG deficiency as well.

Can an allergist/immunologist ever help with chronic inflammatory polyneuropathy? Have seen neuro, but have been told I have IgG deficiency as well.

Together: There is an overalp, and a neuroimmunologist should be able to treat it and if in doubt, an allergist can prescribe ivig if needed. Your neurologist should be able to tell you if they can treat the igg deficiency or not. ...Read more

17

17
How cure: sensitive polyneuropathy syndrome? Thank you.

How cure: sensitive polyneuropathy syndrome? Thank you.

Neuropathy Rx: A neurologist is best-equipped to diagnose & treat neuropathy. Some at-home remedies include: exercise to stimulate blood flow in affected nerves, hot or cold pack on painful area (whichever feels good), moisturizing lotion to protect skin from breakdown, Alpha lipoic acid supplements, vitamin B12 + folate (folic acid) + b6 supplements. Good luck! ...Read more

18

18
What is sensorimotor peripheral polyneuropathy?

What is sensorimotor peripheral polyneuropathy?

It Effect both: The sensory fiber of the nerve and motor fiber of the nerve. ...Read more

19

19
How can one deal with polyneuropathy and piriformis syndrome?

How can one deal with polyneuropathy and piriformis syndrome?

Double Crush: Definitely treat the piriformis with pelvic re-balancing, stretches or myofascial release therapy, because if the piriformis is compressing the sciatic nerve that's already injured it could significantly compound the problem. ...Read more

20

20
What's the cause for polyneuropathy when you are not diabetic or alcoholic? At age 78 female

What's the cause for polyneuropathy when you are not diabetic or alcoholic? At age 78 female

Neuropathy: Can have many causes although diabetes and alcohol abuse are very common causes. Other frequent causes of neuropathy include chronic kidney disease and vitamin deficiencies. There are a number of inherited neuropathies the most common being charcot-marie-tooth neuropathies. Recently a very rare late onset genetically caused neuropathy has been described but it is very rare. ...Read more

21

21
Can you tell me what is axonal sensorimotor peripheral polyneuropathy?

Can you tell me what is axonal sensorimotor peripheral polyneuropathy?

Peripheral Nerve: Damage to the peripheral nerve body and projection is an axonal peripheral sensorimotor neuropathy. ...Read more

22

22
What is the treatment for acute inflammatory polyneuropathy?

What is the treatment for acute inflammatory polyneuropathy?

Hospitalization: It is quite critical, if guillain-barre, or acute inflammatory polyneuropathy is suspected, to be hospitalized immediately, due to risk of difficulty breathing. Currently, plasmapheresis and ivig are the best choices to reverse the process. ...Read more

23

23
How horrible can I expect my polyneuropathy to get?

Need more info: You can assist us by letting us now the purported cause, the extent, your prior treatments, the symptoms, test results, and duration. There are many causes of polyneuropathy, and variable outcomes. I think you will be best served via a Concierge visit here online. ...Read more

24

24
Does polyneuropathy ever go away? Please, need some answers?

Complex: Depends upon cause, and some are readily reversible, but most can be successfully treated. Since this is indeed complicated, recommend we go deeper into it via an INBOX consult or via Concierge consultation. ...Read more

26

26
Polyneuropathy and no loss of reflexes at this time?

I could explain: Polyneuropathy usually effect the sensory part of the nerve which dose not effect reflex testing, but if went for long time it will effect the reflexes because the effect on the motor part of the nerve. ...Read more

27

27
What exactly is axonal sensorimotor peripheral polyneuropathy?

What exactly is axonal sensorimotor peripheral polyneuropathy?

Answer: Description of a peripheral neuropathy that predominantly affects the axon, wire within nerve, and secondarily affects the myelin, insulation. This characteristically occurs in diabetes, alcohol nutritional problems, porphyria, solvent exposure, amyloidosis, etc. ...Read more

28

28
What is axonal sensorimotor peripheral polyneuropathy and how is it treated?

Generic: A variety of nerve pathology. Etiologies include alcohol/nutritional, diabetes, solvent or chemical exposure, porphyria, amyloid, causations. Since this is a unique category, should be relatively easy to pin down and design a specific therapy. Medical foods, metanx, could improve a small fibre component, and Lyrica (pregabalin) or Cymbalta could help symptoms. ...Read more

29

29
I need some help with treating my polyneuropathy (not diabetes) burning in my ankles?

I need some help with treating my polyneuropathy (not diabetes) burning in my ankles?

Is there an: Etiology? If there is no compression of nerves you can try alpha Lipoic acid supplementaion. 1800 mg a day in two or three divided dosages. Alpha natrol or solgar have 600-800 mg pills,,,, ...Read more

30

30
Can niacin cause polyneuropathy, or symptoms like polyneuropathy? Any help appreciated!

Can niacin cause polyneuropathy, or symptoms like polyneuropathy? Any help appreciated!

No: Niacin can have many potential adverse effects but polyneuropathy isn't among them. ...Read more