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Peripheral Neuropathies after Arthropod Stings not Due to Lyme Disease:A Report of 5 Cases and Review of Literature
Neurol 43:1483-1488, Creange,A.,et al, 1993
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Article Abstract
Five patients developed neurologic symptoms a few hours to 2 months after being stung by a nonhooking arthropod with immediate cutaneous reaction. The patients had no clinical or serologic evidence for Lyme borreliosis and rickettsial disease.Clinical and electrophysiologic findings were consistent with a mixed axonal and demyelinating mononeuropathy,a monomelic multiple mononeuropathy,a mononeuropathy multiplex,a radiculoneuritis,and a distal symmetric polyneuropathy.Muscle and nerve biopsies showed lymphoplasmacytic small-vessel vasculitis in all patients, and wallerian degeneration in three.These patients,and 17 others from the literature,indicate a spectrum of peripheral neuropathies occurring after insect and spider stings.
 
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Guillain Barre syndrome
insect sting
mononeuropathy
mononeuropathy multiplex
myeloradiculopathy
nerve conduction studies
neuropathy
polyneuropathy
radial nerve,palsy of
radiculoneuritis
spider sting
trigeminal neuropathy

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