1. Expanding the spectrum of SOX1-antibodies in neuropathy: the coexistence of anti-SOX1 and Guillain-Barré syndrome-a case report.
- Author
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Coniglio S, Turchi G, Giovannini G, Mazzoli M, Meletti S, and Vaudano AE
- Subjects
- Autoantibodies, Humans, SOXB1 Transcription Factors, Guillain-Barre Syndrome complications, Lung Neoplasms complications, Paraneoplastic Syndromes diagnosis, Paraneoplastic Syndromes etiology, Peripheral Nervous System Diseases complications
- Abstract
Background and Aims: Antibodies against SOX1 (or anti-glial nuclear antibody, AGNA) are partially characterized onconeural antibodies, firstly described in association with small cell lung cancer (SCLC). Lambert-Eaton myasthenic syndrome is the most frequent paraneoplastic syndrome (PNS) found in patients with anti-SOX1-antibody positivity. Other associations are chronic axonal polyneuropathy, paraneoplastic limbic encephalitis, and paraneoplastic cerebellar degeneration., Methods: We describe a case of Guillain-Barré syndrome (GBS) with classical demyelinating phenotype associated with a positivity for anti-SOX1-antibodies., Results: A therapy with intravenous immunoglobulin led to progressive clinical improvement. After 12 months, clinical and neurophysiological pictures showed complete recovery. A thorough paraneoplastic screening was negative for underlying tumors., Conclusions: This is the first case of GBS associated with anti-SOX1-antibodies described in literature. Although the concept of paraneoplastic GBS is controversial, different cases have been reported and GBS is considered a non-classical paraneoplastic syndrome. Our case expands the anti-SOX1-antibody clinical spectrum with relevant implications for the clinical practice., (© 2022. Fondazione Società Italiana di Neurologia.)
- Published
- 2022
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