Clinical characteristics and prognosis of vasculitic mononeuropathy multiplex
R. W. Chang, C. L. Bell and M. Hallett
The initial appearance and course of 19 patients with mononeuropathy
multiplex due to systemic vasculitis were evaluated. Neuropathy first
occurred within one year of the onset of systemic vasculitis in all
patients and within one year of the onset of rheumatoid arthritis in four
of nine patients. Concurrent cutaneous arteritic lesions and elevated ESRs
occurred more frequently in patients with rheumatoid arthritis than in
those without it. The overall six-month and five-year survival rates were
approximately 80% and 60%, respectively. Significant nerve improvement was
noted in 86% of surviving patients after one year. There were no factors at
initial appearance predictive of outcome.
