• Arch Neurol Chicago · Feb 1990

    Case Reports

    Peripheral neuropathy associated with alpha 1-antitrypsin deficiency.

    • W G Frederick, R Enriquez, and M J Bookbinder.
    • Department of Laboratory Medicine, Yale-New Haven Hospital, Conn.
    • Arch Neurol Chicago. 1990 Feb 1; 47 (2): 233-5.

    AbstractPeripheral neuropathy associated with alpha 1-antitrypsin deficiency is an uncommon condition. Several recent studies have investigated the possible roles of serum proteinase inhibitors in inflammatory neuropathies, such as multiple sclerosis, Landry-Guillain-Barré syndrome, and various chronic inflammatory demyelinating peripheral neuropathies. We present a case in which alpha 1-antitrypsin deficiency (proteinase inhibitor ZZ phenotype) was diagnosed in a young white man with clinical signs and symptoms of peripheral neuropathy and a history of Landry-Guillain-Barré syndrome. We wish to emphasize the importance of serum protein electrophoresis in the diagnostic workup of patients presenting with the clinical manifestations of peripheral neuropathy.

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