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From the Neurology (Drs. Bailey and Venkatesh), Medical (Infectious Disease) (Dr. Baltch), and Pathology (Drs. Singh and Bishop) Services of the Veterans Administration Medical Center, and the Departments of Neurology (Drs. Bailey and Venkatesh) and Medicine (Dr. Baltch), Albany Medical College of Union University, Albany, NY.
Clinical, laboratory, and pathologic observations in six patients with sensory motor peripheral neuropathy associated with the acquired immunodeficiency syndrome (AIDS) are presented. Blood and urine testing failed to reveal other causes for peripheral neuropathy. Distinctive CSF findings included elevated human immunodeficiency virus-specific indices. Peripheral nerve pathology confirmed the results of electrodiagnostic studies and revealed axonal loss and demyelination. Epineurial and endoneurial mononuclear infiltrates were present in three patients, and in one with early neuropathy, retro viral-like particles were present in peripheral nerve axoplasm. The findings indicate that in some patients with AIDS, neuropathy may be the direct result of a viral insult, although the causes are likely multifactorial.
Address correspondence and reprint requests to Dr. Bailey, Neurology Section, Riverside Medical Clinic, 3660 Arlington Avenue, Riverside, CA 92506.
Supported by the Veterans Administration.
Received June 11, 1987. Accepted for publication in final form October 9, 1987.
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