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Journal of the American Osteopathic Association, Vol 96, Issue 2, 125-125
Copyright © 1996 by American Osteopathic Association

Case Reports

Paraneoplastic intestinal pseudo-obstruction, mononeuritis multiplex, and sensory neuropathy/neuronopathy

DA Simpson, AM Pawlak, L Tegmeyer, C Doig, and D Cox

A patient with diffuse intestinal pseudo-obstruction consisting of gastric paresis and impaired small and large bowel motility, mononeuropathy multiplex, and sensory neuropathy/neuronopathy was found to have small-cell carcinoma of the lung. The clinical symptoms were thought to be consistent with paraneoplastic neuropathy, and high antineuronal and anti-calcium channel antibodies led to the diagnosis of small-cell carcinoma of the lung. Identification of paraneoplastic neuropathy is important, because early treatment may halt the progression of the underlying carcinoma.




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Copyright © 1996 by the American Osteopathic Association.