"L'acropathie ulcéro-mutilante familiale" with involvement of the distal mixed nereves and long bones fractures

Two siblings are described with mutilating lesions of the feet and hands, with sensory disturbances and muscle amyotrophy. The motor and afferent nerve conduction velocities were at the lower limit of normal. The nerve action potentials disappeared, first with percutaneous stimulation of the fingers...

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Veröffentlicht in:Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 1973-08, Vol.36 (4), p.585-591
Hauptverfasser: Jusic, A, Radosevic, Z, Grcevic, N, Hlavka, V, Petricevic-Migic, R, Hartl-Prpic, V
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container_issue 4
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container_title Journal of neurology, neurosurgery and psychiatry
container_volume 36
creator Jusic, A
Radosevic, Z
Grcevic, N
Hlavka, V
Petricevic-Migic, R
Hartl-Prpic, V
description Two siblings are described with mutilating lesions of the feet and hands, with sensory disturbances and muscle amyotrophy. The motor and afferent nerve conduction velocities were at the lower limit of normal. The nerve action potentials disappeared, first with percutaneous stimulation of the fingers and later with more proximal direct nerve stimulation. Early in the course of the illness indolent fracture of different long bones appeared in both cases. Histology revealed severe loss of nerve fibres, especially of the thin nonmyelinated ones. Excessive proliferation of Schwann sheaths and endoneurium exceeded the amount of the usual reparation for loss of nerve fibres and could be considered as a specific feature. Obliterative vasculopathy also belongs to the picture of changes in the nerves, skin, and bones.
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subjects Action Potentials
Adult
Electric Stimulation
Electromyography
Female
Fibula - injuries
Fractures, Spontaneous - etiology
Humans
Male
Muscular Atrophy - etiology
Nerve Degeneration
Neural Conduction
Pain Insensitivity, Congenital - etiology
Peripheral Nervous System Diseases - complications
Peripheral Nervous System Diseases - genetics
Peripheral Nervous System Diseases - pathology
Schwann Cells
Skin Ulcer - etiology
Tibia - injuries
Tibial Nerve - pathology
title "L'acropathie ulcéro-mutilante familiale" with involvement of the distal mixed nereves and long bones fractures
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