Peripheral neuropathy in human immunodeficiency virus-infected patients with the diffuse infiltrative lymphocytosis syndrome.

Abstract:

:A subset of human immunodeficiency virus (HIV)-infected patients develop persistent CD8 hyperlymphocytosis and a Sjogren's syndrome-like syndrome associated with multivisceral CD8 T-cell infiltration, known as the diffuse infiltrative lymphocytosis syndrome (DILS). Patients with DILS tend to have higher CD4 cell counts, fewer opportunistic infections, and longer survival times than other HIV-infected patients. Peripheral nerve involvement in DILS has been poorly documented. We studied 12 HIV-infected patients with CD8 hyperlymphocytosis, DILS, and clinical signs of peripheral neuropathy. Two of 4 patients who were HLA typed were HLA-DR5 and 1 was HLA-DR6. All patients had the sicca syndrome and multivisceral involvement. The neuropathy was acute or subacute, always painful, and symmetrical in 8 cases. Electrophysiology was consistent with axonal neuropathy in 10 of 12 patients. Nerve biopsy showed marked angiocentric CD8 infiltrates without mural necrosis (12 of 12), and abundant expression of HIV p24 protein in macrophages (12 of 12). The HIV genome was detected by polymerase chain reaction in nerve homogenates. Zidovudine therapy was associated with improvement in 6 of 6 patients and steroid therapy was beneficial in 4 of 5 patients. No T-cell lymphoma was observed during follow-up, but 2 patients developed a primary B-cell lymphoma. We conclude that DILS neuropathy represents HIV-associated neuropathy, characterized by marked CD8 infiltration and abundant HIV in nerve, that improves with zidovudine or steroid therapy, and probably reflects a systemic host-determined and antigen-driven response to HIV.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Moulignier A,Authier FJ,Baudrimont M,Pialoux G,Belec L,Polivka M,Clair B,Gray F,Mikol J,Gherardi RK

doi

10.1002/ana.410410406

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

438-45

issue

4

eissn

0364-5134

issn

1531-8249

journal_volume

41

pub_type

杂志文章
  • Strategic Considerations for Applying the Flipped Classroom to Neurology Education.

    abstract::Nowadays, the "flipped classroom" approach is taking the center stage within medical education. However, very few reports on the implementation of the flipped classroom in neurology have been published to date, and this educational model still represents a challenge for students and educators alike. In this article, n...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.25609

    authors: Sandrone S,Berthaud JV,Carlson C,Cios J,Dixit N,Farheen A,Kraker J,Owens JWM,Patino G,Sarva H,Weber D,Schneider LD

    更新日期:2020-01-01 00:00:00

  • Neuronal migration disorder in Zellweger mice is secondary to glutamate receptor dysfunction.

    abstract::Disorders of neuronal migration in cerebral cortex are associated with neurological impairments, including mental retardation and epilepsy. Their causes and pathophysiology remain largely unknown, however. In patients with Zellweger disease, a lethal panperoxisomal disorder, and in mice lacking the Pxr1 import recepto...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:

    authors: Gressens P,Baes M,Leroux P,Lombet A,Van Veldhoven P,Janssen A,Vamecq J,Marret S,Evrard P

    更新日期:2000-09-01 00:00:00

  • Low cerebral blood flow velocity and risk of white matter hyperintensities.

    abstract::Cerebral blood flow velocity (CBF-V) measured by transcranial doppler was assessed in 628 elderly individuals who had cerebral magnetic resonance imaging performed as part of a population-based study on vascular aging. Cerebral white matter hyperintensities (WMHs) were associated with low CBF-V, such as the adjusted o...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:

    authors: Tzourio C,Lévy C,Dufouil C,Touboul PJ,Ducimetière P,Alpérovitch A

    更新日期:2001-03-01 00:00:00

  • Cerebral hypoperfusion and clinical onset of dementia: the Rotterdam Study.

    abstract::Cerebral blood flow (CBF) velocity is decreased in patients with Alzheimer's disease. It is being debated whether this reflects diminished demand because of advanced neurodegeneration or that cerebral hypoperfusion contributes to dementia. We examined the relation of CBF velocity as measured with transcranial Doppler ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20493

    authors: Ruitenberg A,den Heijer T,Bakker SL,van Swieten JC,Koudstaal PJ,Hofman A,Breteler MM

    更新日期:2005-06-01 00:00:00

  • Demyelination causes synaptic alterations in hippocampi from multiple sclerosis patients.

    abstract:OBJECTIVE:Multiple Sclerosis (MS) is an inflammatory demyelinating disease of the human central nervous system. Although the clinical impact of gray matter pathology in MS brains is unknown, 30 to 40% of MS patients demonstrate memory impairment. The molecular basis of this memory dysfunction has not yet been investiga...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.22337

    authors: Dutta R,Chang A,Doud MK,Kidd GJ,Ribaudo MV,Young EA,Fox RJ,Staugaitis SM,Trapp BD

    更新日期:2011-03-01 00:00:00

  • Cortical areas differentially involved in multiplication and subtraction: a functional magnetic resonance imaging study and correlation with a case of selective acalculia.

    abstract::A patient with an intracranial hemorrhage showed differential impairment among arithmetic types (impaired in multiplication but not in subtraction). A functional magnetic resonance imaging (fMRI) experiment using normal volunteers also revealed a differential activation between the two arithmetic types. The fMRI resul...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:

    authors: Lee KM

    更新日期:2000-10-01 00:00:00

  • Increased prevalence and titer of Epstein-Barr virus antibodies in patients with multiple sclerosis.

    abstract::The prevalence and titer of serum antibodies to several Epstein-Barr virus (EBV) antigens were compared among patients with multiple sclerosis, healthy siblings of multiple sclerosis patients, patients with other neurological diseases, and healthy non-blood-related subjects. Serum-cerebrospinal fluid (serum-CSF) pairs...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410170412

    authors: Sumaya CV,Myers LW,Ellison GW,Ench Y

    更新日期:1985-04-01 00:00:00

  • Defective activation of the pyruvate dehydrogenase complex in subacute necrotizing encephalomyelopathy (Leigh disease).

    abstract::Autopsy examination confirmed the diagnosis of subacute necrotizing encephalomyelopathy (SNE) in a 7-month-old male infant who underwent several metabolic studies before death. Intermittent lactic acidemia and fumaric aciduria, an extreme hyperglycemic response to an intravenous bolus of alanine, and an elevated total...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410060605

    authors: DeVivo DC,Haymond MW,Obert KA,Nelson JS,Pagliara AS

    更新日期:1979-12-01 00:00:00

  • Benzodiazepine receptors and diazepam-binding inhibitor in human cerebral tumors.

    abstract::Benzodiazepines can regulate neoplastic growth and immune response through specific peripheral benzodiazepine receptors. We investigated the presence of peripheral and classic central benzodiazepine receptors as well as diazepam-binding inhibitor, an endogenous ligand of both types of receptors, in different human cer...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410260411

    authors: Ferrarese C,Appollonio I,Frigo M,Gaini SM,Piolti R,Frattola L

    更新日期:1989-10-01 00:00:00

  • Phenobarbital modifies seizure-related brain injury in the developing brain.

    abstract::To investigate the potential role of drug therapy in preventing or exacerbating seizure-related brain injury in the prepubescent brain, we administered kainic acid to rats at postnatal day 35. Therapy with daily phenobarbital was started directly before or 1 day after kainic acid was administered, and was continued th...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410360314

    authors: Mikati MA,Holmes GL,Chronopoulos A,Hyde P,Thurber S,Gatt A,Liu Z,Werner S,Stafstrom CE

    更新日期:1994-09-01 00:00:00

  • Dentatorubral-pallidoluysian atrophy: clinical features are closely related to unstable expansions of trinucleotide (CAG) repeat.

    abstract::Dentatorubral-pallidoluysian atrophy is an autosomal dominant neurodegenerative disease characterized by various combinations of ataxia, choreoathetosis, myoclonus, epilepsy, and dementia as well as a wide range of ages at onset. A specific unstable trinucleotide repeat expansion in a gene on the short arm of chromoso...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410370610

    authors: Ikeuchi T,Koide R,Tanaka H,Onodera O,Igarashi S,Takahashi H,Kondo R,Ishikawa A,Tomoda A,Miike T

    更新日期:1995-06-01 00:00:00

  • Neuropeptides: a role as endogenous mediators or modulators of epileptic phenomena.

    abstract::As more small peptidergic components of the central nervous system are isolated, their role in disease states is being investigated. Several of these neuropeptides, especially the opioidlike peptides, adrenocorticotropic hormone, and some hypothalamic releasing factors, have been found to alter neuronal excitability. ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410160707

    authors: Bajorek JG,Lee RJ,Lomax P

    更新日期:1984-01-01 00:00:00

  • Mitochondrial abnormalities in Alzheimer brain: mechanistic implications.

    abstract::Reductions in cerebral metabolism sufficient to impair cognition in normal individuals also occur in Alzheimer's disease (AD). The degree of clinical disability in AD correlates closely to the magnitude of the reduction in brain metabolism. Therefore, we tested whether impairments in tricarboxylic acid (TCA) cycle enz...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20474

    authors: Bubber P,Haroutunian V,Fisch G,Blass JP,Gibson GE

    更新日期:2005-05-01 00:00:00

  • Randomized trials of dichlorphenamide in the periodic paralyses. Working Group on Periodic Paralysis.

    abstract::Although the carbonic anhydrase inhibitors have been used in the treatment of the primary periodic paralyses (PPs), their efficacy has not been demonstrated in double-blind, placebo-controlled trials. Therefore, we tested the efficacy of dichlorphenamide (DCP; Daranide), a potent carbonic anhydrase inhibitor, in the t...

    journal_title:Annals of neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Tawil R,McDermott MP,Brown R Jr,Shapiro BC,Ptacek LJ,McManis PG,Dalakas MC,Spector SA,Mendell JR,Hahn AF,Griggs RC

    更新日期:2000-01-01 00:00:00

  • Disease mechanisms revealed by transcription profiling in SOD1-G93A transgenic mouse spinal cord.

    abstract::Mutations of copper,zinc-superoxide dismutase (cu,zn SOD) are found in patients with a familial form of amyotrophic lateral sclerosis. When expressed in transgenic mice, mutant human cu,zn SOD causes progressive loss of motor neurons with consequent paralysis and death. Expression profiling of gene expression in SOD1-...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.1252

    authors: Olsen MK,Roberds SL,Ellerbrock BR,Fleck TJ,McKinley DK,Gurney ME

    更新日期:2001-12-01 00:00:00

  • Adrenoleukodystrophy: a correlation between saturated very long-chain fatty acids in mononuclear cells and phenotype.

    abstract::Saturated very long-chain fatty acids in erythrocyte membranes, blood plasma, and mononuclear cells were studied in 4 patients with childhood-adolescent adrenoleukodystrophy and 4 patients with adult adrenoleukodystrophy and 19 normal control subjects by using high-performance liquid chromatography. Ratios of C26:0 to...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410300118

    authors: Antoku Y,Koike F,Ohtsuka Y,Sakai T,Tsukamoto K,Nagara H,Iwashita H,Goto I

    更新日期:1991-07-01 00:00:00

  • Myelin basic protein in Alzheimer disease neuronal fractions and mammalian neurofilament preparations.

    abstract::We previously reported a marked increase of a 20,000 molecular weight (MW) protein, P20, in some neuronal fractions and whole cortical homogenates isolated from affected cortex in Alzheimer disease; P20 comigrated electrophoretically with an unidentified, major 20,000 MW protein present in human neurofilament (NF) fra...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410100505

    authors: Selkoe DJ,Brown BA,Salazar FJ,Marotta CA

    更新日期:1981-11-01 00:00:00

  • Oxidative damage to mitochondrial DNA is increased in Alzheimer's disease.

    abstract::Oxidative damage to DNA may play a role in both normal aging and in neurodegenerative diseases. We examined whether Alzheimer's disease (AD) is associated with increased oxidative damage to nDNA and mtDNA in postmortem brain tissue. We measured the oxidized nucleoside, 8-hydroxy-2'-deoxyguanosine (OH8dG), in DNA isola...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410360510

    authors: Mecocci P,MacGarvey U,Beal MF

    更新日期:1994-11-01 00:00:00

  • Surmounting retraining limits in musicians' dystonia by transcranial stimulation.

    abstract:OBJECTIVE:Abnormal cortical excitability is evident in various movement disorders that compromise fine motor control. Here we tested whether skilled finger movements can be restored in musicians with focal hand dystonia through behavioral training assisted by transcranial direct current stimulation to the motor cortex ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24151

    authors: Furuya S,Nitsche MA,Paulus W,Altenmüller E

    更新日期:2014-05-01 00:00:00

  • Augmented currents of an HCN2 variant in patients with febrile seizure syndromes.

    abstract::The genetic architecture of common epilepsies is largely unknown. HCNs are excellent epilepsy candidate genes because of their fundamental neurophysiological roles. Screening in subjects with febrile seizures and genetic epilepsy with febrile seizures plus revealed that 2.4% carried a common triple proline deletion (d...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.21909

    authors: Dibbens LM,Reid CA,Hodgson B,Thomas EA,Phillips AM,Gazina E,Cromer BA,Clarke AL,Baram TZ,Scheffer IE,Berkovic SF,Petrou S

    更新日期:2010-04-01 00:00:00

  • Unique aspects of human newborn cerebral metabolism evaluated with phosphorus nuclear magnetic resonance spectroscopy.

    abstract::In vivo phosphorus nuclear magnetic resonance spectroscopy (31P NMR) was used to evaluate the pattern of phosphate compounds in seven newborn babies (mean gestational age, 32 weeks; birth weight, 1,430 gm; age, 37 days) with a history of perinatal asphyxia. Spectra were collected in a 1.9 Tesla superconductive magnet ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410160509

    authors: Younkin DP,Delivoria-Papadopoulos M,Leonard JC,Subramanian VH,Eleff S,Leigh JS Jr,Chance B

    更新日期:1984-11-01 00:00:00

  • Absence of REM and altered NREM sleep in patients with spinocerebellar degeneration and slow saccades.

    abstract::The pontine tegmentum contains the neurons responsible for generation of saccadic eye movements and certain phases of sleep. We studied two genetically unrelated patients with spinocerebellar degeneration and slow saccadic eye movements. Multiple all-night sleep studies in both patients disclosed absence of REM and st...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410070312

    authors: Osorio I,Daroff RB

    更新日期:1980-03-01 00:00:00

  • Assessment of reliability and biological significance of glutamate levels in cerebrospinal fluid.

    abstract::The published information on glutamate levels in cerebrospinal fluid (CSF) and modifications in neurological disorders is controversial. In the present study, we demonstrated a metabolic instability of glutamate in untreated CSF and a spurious elevation of its levels by the current methods of CSF acidification. These ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410330316

    authors: Ferrarese C,Pecora N,Frigo M,Appollonio I,Frattola L

    更新日期:1993-03-01 00:00:00

  • Metabolic causes of myoglobinuria.

    abstract::To evaluate the proportion of cases of myoglobinuria that can be ascribed to specific metabolic defects, we have studied eight enzymes--phosphorylase, phosphorylase kinase, phosphofructokinase (PFK), phosphoglycerate kinase (PGK), phosphoglycerate mutase (PGAM), lactate dehydrogenase (LDH), carnitine palmitoyltransfer...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410270214

    authors: Tonin P,Lewis P,Servidei S,DiMauro S

    更新日期:1990-02-01 00:00:00

  • The effect of metrizamide on the electroencephalogram: a prospective study in 61 patients.

    abstract::A prospective study was made of changes in the electroencephalogram after the use of metrizamide for myelography and posterior fossa cisternography in 61 patients (62 studies). The EEG changed in 21 patients (34%); 3 of these had had previously abnormal records, and the abnormalities were accentuated on the second rec...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410060308

    authors: Ropper AH,Chiappa KH,Young RR

    更新日期:1979-09-01 00:00:00

  • Does tremor pace repetitive voluntary motor behavior in Parkinson's disease?

    abstract::In patients with Parkinson's disease and in normal subjects, the influence of tremor on repetitive voluntary movement was investigated in the index finger by comparing frequency of isometric force tremor with frequency of voluntary alternating isometric contractions. Tremor frequency, measured over the range from 0 to...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410300208

    authors: Logigian E,Hefter H,Reiners K,Freund HJ

    更新日期:1991-08-01 00:00:00

  • A unifying hypothesis for the cause of amyotrophic lateral sclerosis, parkinsonism, and Alzheimer disease.

    abstract::The causes of amyotrophic lateral sclerosis, Parkinson disease, and Alzheimer disease are unknown. Furthermore, treatment for two of these conditions is almost totally lacking. The thesis is presented that each of these disorders is due to lack of a disorder-specific neurotrophic hormone. The hormone would be elaborat...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410100602

    authors: Appel SH

    更新日期:1981-12-01 00:00:00

  • Skin nerve pathology: Biomarkers of premanifest and manifest amyloid neuropathy.

    abstract:OBJECTIVE:Small-fiber sensory and autonomic symptoms are early presentations of familial amyloid polyneuropathy (FAP) with transthyretin (TTR) mutations. This study aimed to explore the potential of skin nerve pathologies as early and disease-progression biomarkers and their relationship with skin amyloid deposits. ME...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.25433

    authors: Chao CC,Hsueh HW,Kan HW,Liao CH,Jiang HH,Chiang H,Lin WM,Yeh TY,Lin YH,Cheng YY,Hsieh ST

    更新日期:2019-04-01 00:00:00

  • Increases in soluble VCAM-1 correlate with a decrease in MRI lesions in multiple sclerosis treated with interferon beta-1b.

    abstract::Interferon beta-1b reduces clinical exacerbations and disease activity in multiple sclerosis as shown by magnetic resonance imaging, but the mechanism of action is unknown. We investigated the correlation between the levels of soluble adhesion molecules and a reduction in contrast-enhancing lesions on gadopentetate di...

    journal_title:Annals of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1002/ana.410410517

    authors: Calabresi PA,Tranquill LR,Dambrosia JM,Stone LA,Maloni H,Bash CN,Frank JA,McFarland HF

    更新日期:1997-05-01 00:00:00

  • Dichloroacetate exerts therapeutic effects in transgenic mouse models of Huntington's disease.

    abstract::Dichloroacetate (DCA) stimulates pyruvate dehydrogenase complex (PDHC) activity and lowers cerebral lactate concentrations. In the R6/2 and N171-82Q transgenic mouse models of Huntington's disease (HD), DCA significantly increased survival, improved motor function, delayed loss of body weight, attenuated the developme...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.1085

    authors: Andreassen OA,Ferrante RJ,Huang HM,Dedeoglu A,Park L,Ferrante KL,Kwon J,Borchelt DR,Ross CA,Gibson GE,Beal MF

    更新日期:2001-07-01 00:00:00