Neurology: Case of the Month

Test Yourself — Patient 66

Acute sarcoid myositis with coexisting sensory neuropathy; Pulmonary sarcoidosis

1. All of the following disorders may present with granulomatous myopathy EXCEPT:
   • [ A ] Sarcoidosis
   • [ B ] Crohn's disease
   • [ C ] Wegener's granulomatosis
   • [ D ] Steroid-induced myopathy
   • [ E ] Thymoma
2. The most common form of myopathy associated with sarcoidosis is:
   • [ A ] Acute myositis
   • [ B ] Chronic, frequently asymptomatic or minimally symptomatic myopathy
   • [ C ] Diffuse atrophy or pseudohypertrophy
   • [ D ] Nodular myopathy with palpable lymphadenopathy
   • [ E ] Isolated myopathy without systemic sarcoidosis
3. The most common presentation of neurosarcoidosis is:
   • [ A ] facial nerve palsy
   • [ B ] myelopathy
   • [ C ] distal symmetric polyneuropathy
   • [ D ] aseptic meningitis
   • [ E ] mononeuritis multiplex
4. The peripheral neuropathy associated with sarcoidosis typically shows demyelinating features that suggest a picture of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP).
   • [ A ] True
   • [ B ] False
5. In most cases of monoclonal gammopathy associated with peripheral neuropathy, the circulating immunoglobulin can be directly demonstrated to cause the neuropathy.
   • [ A ] True
   • [ B ] False

 

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