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32 سنوات
This case is with me for like 10+ years but nothing of the symptoms u mentioned nor any of these diseases. Its usually on my hands arms or legs but sometimes anywhere in an area of 10-15 cm long.
27 أغسطس 2014
رأي ثانوي

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د. Zakia Dimassi طب الأطفال
This sounds like Wartenberg's migratory sensory neuropathy (also known as Wartenberg's migrant sensory neuritis), which is a rare entity. It is a benign relapsing and remitting condition characterized by pain and subsequent loss of sensation in the distribution of individual cutaneous (skin) nerves, which is induced by movement of the limbs inducing stretch. The movements may be very small, and the periods of pain, dysaesthesia (abnormal sensation), and numbness vary widely from instantaneous to chronic. Wartenberg’s sensory neuritis is thus a distinct, exclusively sensory, neuropathy, marked by pain preceding numbness in affected nerves
The actual cause of this polyneuropathy remains unknown, but most research now puts this as an immune-mediated, chronic, asymmetric polyneuropathy. Stress may also be a contributory factor.
Any cutaneous sensory nerve can be involved. The onset of symptoms is usually slow start, and it gradually builds up to sensations in many parts of the body. At times, the focal nerve lesions can be painful. Most symptoms resolve but permanent sensory loss can persist. Patients sometimes described a sensation of electric discharge when stretching nerve trunks.
Mean onset of symptoms is around 35 years of age, with a range of 4th and 5th decades.
Course of the disease is episodic and recurrent. Some sensory loss improves, other is permanent.
Due to the unknown cause of this condition, treatment is basically symptomatic and specific to the individual to the patient. Steroid treatments such as prednisone don't seem effective.
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