Literature DB >> 26189999

Achalasia, chronic sensory neuropathy, and N-type calcium channel autoantibodies: beneficial response to IVIG.

Hugh J McMillan1, Jayashri Srinivasan2.   

Abstract

Autoimmune gastrointestinal dysmotility (AGID) can result from paraneoplastic onconeuronal antibodies. Patients may present with regional hypomotility anywhere along the gastrointestinal tract. We report a case of a woman who developed an insidious sensory neuropathy and achalasia. She was found to have a high-titer of N-type voltage gated-calcium channel (VGCC) antibodies. She demonstrated clinical and electrophysiological improvement of her neuropathy, as well as improvement of her swallowing and gait, after treatment with intravenous immunoglobulins.

Entities:  

Keywords:  Autoantibodies; Esophageal achalasia; Gait ataxia; Intravenous immunoglobulins; N-type calcium channel; Paraneoplastic syndromes

Year:  2010        PMID: 26189999     DOI: 10.1007/s12328-010-0140-6

Source DB:  PubMed          Journal:  Clin J Gastroenterol        ISSN: 1865-7265


  23 in total

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Journal:  Brain       Date:  2001-06       Impact factor: 13.501

2.  Benefit of IVIg for long-standing ataxic sensory neuronopathy with Sjögren's syndrome.

Authors:  Gil I Wolfe; Sharon P Nations; Dennis K Burns; Laura L Herbelin; Richard J Barohn
Journal:  Neurology       Date:  2003-09-23       Impact factor: 9.910

Review 3.  Voltage-gated calcium channels in autonomic neuroeffector transmission.

Authors:  S A Waterman
Journal:  Prog Neurobiol       Date:  2000-02       Impact factor: 11.685

4.  Autoantibodies to ganglionic acetylcholine receptors in autoimmune autonomic neuropathies.

Authors:  S Vernino; P A Low; R D Fealey; J D Stewart; G Farrugia; V A Lennon
Journal:  N Engl J Med       Date:  2000-09-21       Impact factor: 91.245

5.  Paraneoplastic gastrointestinal motor dysfunction: clinical and laboratory characteristics.

Authors:  H R Lee; V A Lennon; M Camilleri; C M Prather
Journal:  Am J Gastroenterol       Date:  2001-02       Impact factor: 10.864

6.  Neurologic improvement after high-dose intravenous immunoglobulin therapy in patients with paraneoplastic cerebellar degeneration associated with anti-Purkinje cell antibody.

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Journal:  J Neurooncol       Date:  2006-06-14       Impact factor: 4.130

7.  Treatment of paraneoplastic neurological syndromes with antineuronal antibodies (Anti-Hu, anti-Yo) with a combination of immunoglobulins, cyclophosphamide, and methylprednisolone.

Authors:  F Keime-Guibert; F Graus; A Fleury; R René; J Honnorat; P Broet; J Y Delattre
Journal:  J Neurol Neurosurg Psychiatry       Date:  2000-04       Impact factor: 10.154

8.  Integrity of cholinergic innervation to the lower esophageal sphincter in achalasia.

Authors:  R H Holloway; W J Dodds; J F Helm; W J Hogan; J Dent; R C Arndorfer
Journal:  Gastroenterology       Date:  1986-04       Impact factor: 22.682

9.  Serologic profiles aiding the diagnosis of autoimmune gastrointestinal dysmotility.

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10.  Calcium-channel antibodies in the Lambert-Eaton syndrome and other paraneoplastic syndromes.

Authors:  V A Lennon; T J Kryzer; G E Griesmann; P E O'Suilleabhain; A J Windebank; A Woppmann; G P Miljanich; E H Lambert
Journal:  N Engl J Med       Date:  1995-06-01       Impact factor: 91.245

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Journal:  J Gastroenterol       Date:  2018-05-15       Impact factor: 7.527

3.  Autoimmune Gastrointestinal Dysmotility in a Patient With HIV Treated With Methylprednisolone and Pyridostigmine.

Authors:  Christopher M Gromisch; Mariana A Machado; Venkata Satyam; David Nunes
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5.  Clinical Improvement With Pyridostigmine in a Patient With Acetylcholine Receptor Antibody-Associated Autoimmune Gastrointestinal Dysmotility.

Authors:  Shaina Sekhri; Benson Massey; Poonam Beniwal-Patel
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  5 in total

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