Chinese Journal of Tissue Engineering Research ›› 2018, Vol. 22 ›› Issue (12): 1939-1943.doi: 10.3969/j.issn.2095-4344. 0211

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Neuroelectrophysiological characteristics of peripheral neuropathy in primary Sjögren’s syndrome: study protocol for a prospective case series and preliminary results

Wang Dan1, Li Zhong-ming2, Zhao Ming-jie1, Xue Ruo-hong1, Xu Hong1, Zhong Lian-mei1   

  1. 1Department of Neurology, First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan Province, China; 2Basic Medical College, Kunming Medical University, Kunming 650500, Yunnan Province, China
  • Received:2018-03-27 Online:2018-04-28 Published:2018-04-28
  • Contact: Xu Hong, M.D., Chief physician, Department of Neurology, First Affiliated Hospital of Kunming Medical University, Kunming650032, Yunnan Province, China Corresponding author: Zhong Lian-mei, M.D., Associate chief physician, Department of Neurology, First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan Province, China
  • About author:Wang Dan, Master, Attending physician, Department of Neurology, First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan Province, China
  • Supported by:

    the Yunnan Provincial Science and Technology Department-Kunming Medical University Applied and Basic Research Project (General Program)

Abstract:

BACKGROUND: Sjögren’s syndrome (SS) is a chronic progressive autoimmune disease. The incidence of peripheral nervous system damage in patients with primary Sjögren’s syndrome (pSS) is 10%-30%. Previous studies have shown that there are multiple electrophysiological manifestations in patients with pSS presenting with peripheral neuropathy. However, there is no consensus on its neuroelectrophysiological manifestations. Peripheral neuropathy associated with pSS is easily confused with peripheral neuropathy caused by other etiologies.
OBJECTIVE: To observe the neuroelectrophysiological manifestations of peripheral neuropathy associated with pSS to assist in the diagnosis of the disease.
METHODS: A total of 100 pSS patients with peripheral neuropathy who receive treatment in the Department of Neurology, First Affiliated Hospital of Kunming Medical University, in China will be included in this study. Fifty-two patients included in the preliminary experiment presented with peripheral neuropathy associated with pSS. The primary outcome measure is the rate of abnormal motor nerve conduction velocity. The secondary outcome measures include the rate of abnormal terminal motor latency, the rate of abnormal compound muscle action potential amplitude, the rate of sensory nerve conduction velocity, the rate of abnormal sensory nerve action potential amplitude, the rate of abnormal F wave, and the rate of abnormal sympathetic skin response.
RESULTS AND CONCLUSION: Results of 52 patients included in the preliminary study showed that the rate of each electrophysiological index was similar between upper and lower extremities; the rate of abnormal motor nerve conduction velocity was significantly higher than the rate of abnormal compound muscle action potential amplitude; the rate of sensory nerve conduction velocity was significantly higher than the rate of abnormal sensory nerve action potential amplitude; the rate of abnormal motor nerve conduction velocity was similar to the rate of abnormal sensory nerve conduction velocity; the rate of abnormal compound muscle action potential amplitude was similar to the rate of abnormal sensory nerve action potential amplitude; the rate of abnormal wave was significantly lower than the rate of abnormal motor nerve conduction velocity; the rate of abnormal sympathetic skin response was similar to the rate of abnormal motor nerve conduction velocity. Results from this study will reveal neuroelectrophysiological abnormality in peripheral neuropathy associated with pSS, which will help diagnose the disease.

中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程

Key words: Sjogren’s Syndrome, Electrophysiology, Tissue Engineering

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