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Multiple painful sensory mononeuropathies (MPSM), a novel pattern of sarcoid neuropathy

¹ Neurological Consultants PC, Suite 210, 140 Hospital Drive, Bennington, Vermont 05210, USA
² Department of Neurology, Bigelow 1256, Massachusetts General Hospital, 55 Fruit St, Boston, 02114, MA, USA; PSIAO@PARTNERS.ORG

Keywords: multiple painful sensory mononeuropathy; sarcoidosis

The first 150 words of the full text of this article appear below.

Sarcoidosis is a granulomatous disease with the potential to affect many different organ systems. Approximately 5% of patients with systemic sarcoidosis have neurological involvement.¹ Peripheral neuropathy occurs in up to 20% of these patients and is usually asymptomatic. Neurophysiological findings are consistent with primary axonal polyneuropathy.¹ We report an unusual case of neurosarcoidosis, presenting with multiple painful sensory mononeuropathies (MPSM) and progressing to a symmetric confluent sensory neuropathy.

Case report
A patient in her 4th decade of life presented with a history of multiple sensory deficits. She first developed acute onset pain and numbness of the right little finger, followed by a change in taste over the anterior two thirds of the tongue, without facial weakness. Two months later, the patient developed numbness in the palmar aspect of all fingers with dysesthesia, intermittent burning, and throbbing pain. Three months later, the pain spread to involve the dorsal aspect of the forearms. Seven . . . [Full text of this article]