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Adalimumab-induced sensory vasculitic neuropathy. | LitMetric

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http://dx.doi.org/10.1136/dtb.2022.246401.repDOI Listing

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Article Synopsis
  • Vasculitis and autoimmune conditions can occur as complications from TNF-α inhibitors, leading to varied presentations, including isolated vasculitic neuropathy.
  • Diagnosing vasculitic neuropathy is challenging due to the limited sensitivity of peripheral nerve biopsies, making thorough patient history and clinical suspicion essential.
  • The text discusses a specific case of sensory vasculitic neuropathy induced by adalimumab, highlighting the treatment approach based on guidelines for non-systemic vasculitic neuropathy.
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Background: Several disorders may present with mononeuritis multiplex and the etiological diagnosis can be challenging.

Case Presentation: We report a 42 year-old female who presented with severe lower limb neuropathic pain, asymmetric weakness and sensory impairment and was diagnosed with mononeuritis multiplex. Biopsy showed a granulomatous vasculitic process with eosinophils, scarce granulomata and axonal neuropathy and granulomatosis with poliangiitis was assumed.

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