Improvement of Anti-Hu-associated Paraneoplastic Sensory Neuropathy after Chemoradiotherapy in a Small Cell Lung Cancer Patient

A 66-year-old man developed progressive painful dysesthesia in his hands and feet over 3 months. His vibration sense was impaired and sensory nerve action potentials of the limbs were not evoked. Biopsy of the peroneal nerve revealed sensory neuropathy. Positive anti-Hu antibody facilitated delineat...

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Veröffentlicht in:Internal Medicine 2001, Vol.40(11), pp.1140-1143
Hauptverfasser: SUZUKI, Mayumi, KIMURA, Hiromi, TACHIBANA, Isao, FUJIMURA, Harutoshi, NAKATSUJI, Yuji, SUGAI, Fuminobu, NABA, Ichiro, NAKAMORI, Masayuki, MORISHITA, Hiroshi, ARAI, Toru, OSAKI, Tadashi, HAYASHI, Seiji
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container_end_page 1143
container_issue 11
container_start_page 1140
container_title Internal Medicine
container_volume 40
creator SUZUKI, Mayumi
KIMURA, Hiromi
TACHIBANA, Isao
FUJIMURA, Harutoshi
NAKATSUJI, Yuji
SUGAI, Fuminobu
NABA, Ichiro
NAKAMORI, Masayuki
MORISHITA, Hiroshi
ARAI, Toru
OSAKI, Tadashi
HAYASHI, Seiji
description A 66-year-old man developed progressive painful dysesthesia in his hands and feet over 3 months. His vibration sense was impaired and sensory nerve action potentials of the limbs were not evoked. Biopsy of the peroneal nerve revealed sensory neuropathy. Positive anti-Hu antibody facilitated delineation of a right hilar mass and a metastatic lymph node in thoracic CT scan. He was diagnosed as small cell lung cancer associated with paraneoplastic sensory neuropathy. A complete response was achieved through chemotherapy (carboplatin and etoposide) and subsequent radiation therapy. Notably, his neurological conditions, although not changed during the hospitalization, gradually improved afterwards. (Internal Medicine 40:1140-1143, 2001)
doi_str_mv 10.2169/internalmedicine.40.1140
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His vibration sense was impaired and sensory nerve action potentials of the limbs were not evoked. Biopsy of the peroneal nerve revealed sensory neuropathy. Positive anti-Hu antibody facilitated delineation of a right hilar mass and a metastatic lymph node in thoracic CT scan. He was diagnosed as small cell lung cancer associated with paraneoplastic sensory neuropathy. A complete response was achieved through chemotherapy (carboplatin and etoposide) and subsequent radiation therapy. Notably, his neurological conditions, although not changed during the hospitalization, gradually improved afterwards. 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Med.</addtitle><description>A 66-year-old man developed progressive painful dysesthesia in his hands and feet over 3 months. His vibration sense was impaired and sensory nerve action potentials of the limbs were not evoked. Biopsy of the peroneal nerve revealed sensory neuropathy. Positive anti-Hu antibody facilitated delineation of a right hilar mass and a metastatic lymph node in thoracic CT scan. He was diagnosed as small cell lung cancer associated with paraneoplastic sensory neuropathy. A complete response was achieved through chemotherapy (carboplatin and etoposide) and subsequent radiation therapy. Notably, his neurological conditions, although not changed during the hospitalization, gradually improved afterwards. 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source MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; EZB-FREE-00999 freely available EZB journals
subjects Aged
anti-Hu antibody
Antineoplastic agents
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Autoantibodies - blood
Biological and medical sciences
Carboplatin - administration & dosage
Carcinoma, Small Cell - drug therapy
Carcinoma, Small Cell - immunology
Carcinoma, Small Cell - radiotherapy
Combined treatments (chemotherapy of immunotherapy associated with an other treatment)
Etoposide - administration & dosage
Humans
Lung Neoplasms - drug therapy
Lung Neoplasms - immunology
Lung Neoplasms - radiotherapy
Male
Medical sciences
paraneoplastic neurological syndrome
Paraneoplastic Polyneuropathy - immunology
paraneoplastic syndrome
Pharmacology. Drug treatments
Treatment Outcome
title Improvement of Anti-Hu-associated Paraneoplastic Sensory Neuropathy after Chemoradiotherapy in a Small Cell Lung Cancer Patient
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