YJ: Resources, Writing C review & editing. Acknowledgments We extend our heartfelt gratitude to everyone who contributed to this study, including the patients. rowspan=”1″ colspan=”1″>
?Female/Male1/812/160.087?Age (years) 33.8 16.551.3 15.7 0.007 ?Onset age (years) 33.0 16.349.8 15.8 0.009
?Triggering(infection/vaccination)3/9 (33.3%)5/28 (17.9%)0.292?Acute/subacute3/9 (33.3%)7/28 (25%)0.463?Chronic6/9 (66.7%)21/28 (75%)0.463
?Remitting-relapsing2/9 (22.2%)14/28 (50%)0.141?Progressing7/9 (77.8%)14/28 (50%)0.141?Disease duration (month)7.0 (5.0, 10.5)7.5 (3.0, 21.0)0.931
?Limb weakness8/9 (88.9%)22/28 (78.6%)0.444?Limb numbness6/9 (66.7%)22/28 (78.6%)0.377?Tremor2/9 (22.2%)1/28 (7.1%)0.244?Sensory deficiency8/9 (88.9%)19/28 (67.9%)0.216?Ataxia 8/9 (88.9%)12/28 (42.9%) 0.019 ?Pain0/9 (0%)2/28 (7.1%)0.568?Cranial Fondaparinux Sodium nerve involvement1/9 (11.1%)5/28 (17.9%)0.543
?Demyelinating predominant8/9 (88.9%)22/28 (78.6%)0.444?Axon damage predominant1/9 (11.1%)6/28 (21.4%)0.444?Axon damage 9/9 (100%)17/28 (60.7%) 0.025 ?Prolonged DML9/9 (100%)24/28 (85.7%)0.310?Prolonged F-wave latency4/9 (44.4%)11/28 (39.3%)0.541?Reduced CV9/9 (100%)28/28 (100%)NA?CB1/9 (11.1%)2/28 (7.1%)0.578?TD1/9 (11.1%)2/28 (7.1%)0.578?Reduced CMAP amplitude 9/9 (100%)17/28 (60.7%) 0.025
?CSF protein (g/L) 3.37 (1.71,3.47)0.79 (0.56,1.64) 0.001 ?Leucocyte (<5/l)4.0 (2.0, 7.0)2.0 (2.0, 4.0)0.566?Protein cell separation8/9 (88.9%)18/28 (64.3%)0.163
?Corticosteroids6/6 (100%)18/20 (90%)0.585?IVIG0/1 (0%)10/11 (90.9%)0.167?PE3/3 (100%)1/1 (100%)NA?RTX1/1 (100%)0 (0%)NA?Cyclophosphamide1/1 (100%)1/1 (100%)NA Open in a separate window DML, distal motor latency; CV, conduction velocity; CB, conduction block; TD, temporal dispersion; CMAP, compound muscle action potential; CSF, cerebrospinal fluid; IVIg, intravenous immunoglobulins; PE, plasma exchange; RTX, Rituximab; NA, not applicable. Bolded values represent statistically significant differences in clinical data between the two groups of patients with autoimmune nodopathy with anti-NF155 antibodies and serologically unfavorable patients. All nine patients with AN with anti-NF155 antibodies exhibited multiple motor?sensory peripheral nerve neuropathy with myelin and axonal involvement ( Supplementary Table?1 ). Axonal damage was more frequently seen in patients with AN with anti- NF155 antibodies than in serologically unfavorable patients (100% vs 60.7%, respectively; p=0.025). Most patients with CIDP exhibited elevated CSF protein levels. The mean CSF protein levels were significantly higher in patients with AN with anti-NF155 antibodies than in serologically unfavorable patients (3.37 [1.71, 3.47] vs 0.79 [0.56, 1.64], respectively; p=0.001), but the leukocyte counts were not statistically different. Albuminocytologic dissociation was present in most patients with AN with anti-NF155 antibodies. There was no statistically significant difference in the efficacy of treatment regimens between the two groups of patients. Most of the serologically unfavorable patients with CIDP were effectively treated with corticosteroids and intravenous immunoglobulin (IVIg) therapy. One patient with AN with anti-NF155 antibodies was treated with IVIg but did not respond to it. The other patients with AN with experienced varying degrees of symptomatic relief after receiving immunotherapies. Multiple treatment regimens were often administered to the same patient ( Table?2 ). Table?2 Clinical characteristics of nine patients with AN with anti-NF155 antibodies.
Onset age/Sex35/M52/M16/M19/M55/F50/M35/M15/M20/MOnsetACAACCCCCDisease duration(month)82455679312
Limb weakness++++++++CSensory dysfunction++++++++CAtaxia++++++++CCranial nerve involvementCCFacial nerveCCCCCCTremorC+CCCC+CCCSF protein level (g/L)2.653.853.523.401.142.273.413.370.31Leucocyte (<5/l)428264282Peripheral nerve MRINANA(+)NANANANANANA
Demyelination+++++++++Axonal damage+++++++++Reduced CV+++++++++Prolonged DML+++++++++CBCCCC+CCCCTDCCCC+CCCCReduced CMAP amplitude+++++++++
Corticosteroids++NA++++NANAIVIGNANACNANANANANANAPENANA++NANANA+NARTXNANA+NANANANANANACyclophosphamideNA+NANANANANANANA Open in a separate window M, male; F, female; A, acute; C, chronic; CSF, cerebrospinal fluid; MRI, Magnetic resonance imaging; CV, conduction velocity; DML, distal motor latency; CB, conduction block; TD, temporal dispersion; CMAP, compound muscle action potential; IVIg, intravenous immunoglobulins; PE, plasma exchange; RTX, Rituximab; NA, not applicable. In clinical characteristics and electrophysiological studies, the symbol “-” indicates unfavorable or absent, and the symbol “+” indicates positive or present; Fondaparinux Sodium in response to treatment, the symbol “-” indicates no response, and the symbol “+” indicates a response. 4.?Discussion The anti-NF155 antibody is the most prevalent antibody in AN. Previous studies have reported that patients with AN with anti-NF155 antibodies present with a specific clinical phenotype that is mainly characterized by young onset age, acute or subacute disease onset, limb weakness, sensory deficiency, ataxia, tremor, cranial nerve involvement, and significantly elevated CSF.