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Reversible reddish skin color change in a patient with compressive radial neuropathy

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Authors
Ahn, Jong Hyeon; Kim, Dae Joong; Sung, Jung-Joon; Hong, Yoon-Ho; Ahn, Suk-Won; Park, Jeong Jin; Yoon, Byung-Nam
Issue Date
2018-08-21
Publisher
BioMed Central
Citation
BMC Neurology, 18(1):120
Keywords
Radial neuropathyNerve compression syndromeAutonomic dysreflexiaSympathetic nervous systemPostganglionic sympathetic fibersRed skin pigment
Abstract
Background
The motor and sensory symptoms caused by compressive radial neuropathy are well-known, but the involvement of the autonomic nervous system or the dermatologic symptoms are less well known. We report an unusual case of compressive radial neuropathy with reversible reddish skin color change.

Case presentation
A 42-year-old man was referred for left wrist drop, finger drop and a tingling sensation over the lateral dorsum of the left hand. Based on clinical information, neurologic examinations and electrophysiologic studies, he was diagnosed with compressive radial neuropathy. In addition, a reddish skin color change was observed at the area of radial sensory distribution. After two weeks of observation without specific treatment, the skin color had recovered along with a marked improvement in weakness and aberrant sensation.

Conclusions
Compressive radial neuropathy with a reversible reddish skin color change is unusual and is considered to be due to vasomotor dysfunction of the radial autonomic nerve. Compressive radial neuropathy is presented with not only motor and sensory symptoms but also autonomic symptoms; therefore, careful examination and inspection are needed at diagnosis.
ISSN
1471-2377
Language
English
URI
http://hdl.handle.net/10371/143538
DOI
https://doi.org/10.1186/s12883-018-1128-y
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Neurology (신경과학교실)Journal Papers (저널논문_신경과학교실)
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