Recent insights into haematology and peripheral nerve disease.

IF 4.1 2区 医学 Q1 CLINICAL NEUROLOGY
Current Opinion in Neurology Pub Date : 2024-10-01 Epub Date: 2024-06-10 DOI:10.1097/WCO.0000000000001291
Oliver Tomkins, Michael P Lunn
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引用次数: 0

Abstract

Purpose of review: The association between clonal haematological disorders and peripheral nerve disease is recognized. Paraproteinaemic phenomena are the most common mechanism, but direct neural lymphomatous infiltration is seen and can be challenging to diagnose. Traditional and novel anticancer therapies have neuropathic side effects.

Recent findings: Novel studies using sensitive techniques are refining the incidence of peripheral neuropathy in patients with a monoclonal gammopathy, and the pathogenesis of IgM Peripheral neuropathy (PN) and POEMS syndrome. Recent series give insight into the characteristics and diagnostic challenges of patients with neurolymphomatosis and amyloid light chain amyloidosis. There is an increasing repertoire of effective anticancer drugs in haematological oncology, but chemotherapy-related neuropathy remains a common side effect.

Summary: This review of the current literature focuses on recent updates and developments for the paraproteinaemic neuropathies, and the evaluation, diagnosis and treatment of peripheral nerve disease due to high-grade and low-grade lymphomas and lymphoproliferative disorders.

对血液学和周围神经疾病的最新见解。
审查目的:克隆性血液病与周围神经疾病之间的关联已得到公认。副蛋白血症现象是最常见的机制,但也可见到直接的神经淋巴瘤浸润,其诊断具有挑战性。传统和新型抗癌疗法都有神经病理性副作用:使用敏感技术进行的新研究正在完善单克隆淋巴瘤病患者周围神经病变的发病率,以及 IgM 周围神经病变 (PN) 和 POEMS 综合征的发病机制。最近的系列研究深入探讨了神经淋巴瘤病和淀粉样轻链淀粉样变性患者的特征和诊断难题。摘要:这篇最新文献综述的重点是副蛋白血症性神经病的最新进展和发展,以及高级别和低级别淋巴瘤和淋巴增生性疾病引起的周围神经疾病的评估、诊断和治疗。
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来源期刊
Current Opinion in Neurology
Current Opinion in Neurology 医学-临床神经学
CiteScore
8.60
自引率
0.00%
发文量
174
审稿时长
6-12 weeks
期刊介绍: ​​​​​​​​Current Opinion in Neurology is a highly regarded journal offering insightful editorials and on-the-mark invited reviews; covering key subjects such as cerebrovascular disease, developmental disorders, neuroimaging and demyelinating diseases. Published bimonthly, each issue of Current Opinion in Neurology introduces world renowned guest editors and internationally recognized academics within the neurology field, delivering a widespread selection of expert assessments on the latest developments from the most recent literature.
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