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HNPP can mimick AIDP

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Abstract from Rev Neurol (Paris). 2004 Dec;160(12):1203-6.

Hereditary neuropathy with liability to pressure palsy presenting with an acute

inflammatory demyelinating polyneuropathy.

Degos B, Echaniz-Laguna A, Latour P, Vandenberghe A, Anheim M, Talmant V,

Tranchant C.

Departement de Neurologie, Hopital Civil de Strasbourg, Strasbourg, France.

Introduction:Hereditary neuropathy with liability to pressure palsy (HNPP) is an

autosomal dominant peripheral neuropathy characterized by compressive focal

neuropathies and an underlying sensorimotor demyelinative polyneuropathy. It is

usually caused by a 1.5 Mb deletion of the PMP22 gene (17p11.2).

Case Report: We describe the case of a 31 years-old woman who presented with

acute demyelinative peripheral polyneuropathy affecting the four limbs and

elevated cerebrospinal fluid protein content a few days after a viral illness.

Acute inflammatory demyelinating polyneuropathy (AIDP, Guillain-Barre syndrome)

was suspected. However, electrophysiologic examination suggested HNPP and

subsequent genetic testing was confirmatory.

CONCLUSION: This case demonstrates that HNPP can present in an acute manner,

mimicking AIDP.

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http://www.reeve.uci.edu/index.html

Gretchen - Thanks a bunch for posting the HNPP information. Seems there's a lot

of " mimicking " of CMT/HNPP going around these days.

Check out the link I've provided above. It's about the most current stem cell

research being done by a doctor at the REEVE-IRVINE research lab. It's quite

interesting and gives more hope than I've seen from the scientific medical

community in a very long time. Dr. Hans Keirstead seems to have been able to

cause mice and rats to walk again after trauma to their spine using a " stem cell

cocktail " (my words) he has developed. The article goes on to talk about human

trials in 2006. I believe it is he that is quoted when said, " I want to make

sure toe nails don't grow in the brain first before testing on humans. " And,

that would be a good idea!!!!

Again, the link is above. Just search through the main page - it's right there

- and you'll find the entire article. I did see a 2003 date on the institute's

description page, however, the article you'll find about Dr. Keirstead's

research was posted just today on my Comcast.net IP.

rQn I

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RQN,

Very interesting info at Irvine, thanks. I was particularly interested in the

reinnervation and regeneration. Also Joan 's quote to Chris. Yes, it seems

too many disorders are looking like " mimics " - seems to create brand new

territory.

Gretchen

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