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high dose steroids or PMR as a cause of an acute axonal neuropathy

Chris Rink5/4/23 3:03 PM (CDT)
is there any association with an acute onset of an axonal neuropathy associated with the use of high dose steroids or in association with polymyalgia rheumatica? I could not find any clinical studies, but on a mayo clinic patient blog site, there were several entries similar to my patients history of abrupt onset of numbness, paresthesis of the feet and a feeling of unsteadiness afer initiating steroids for the treatment of PMR. her electrodiagnostic studies were noted for significant reduction of the peroneal motor responses, absent bilateral sural and superficial peroneal sensory responses, but normal tibial motor responses. she also had significant spontanous activity isolated to the EDB bilaterally.
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