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Perineuritis and ulcerative colitis

Departments of Neurology (Drs. Chad, Smith, DeGirolami. and Ms. Hammer) and Pathology (Neuropathology) (Drs. Chad, Smith, and DeGirolami), University of Massachusetts Medical Center, Worcester, MA.

We describe the association of chronic polyneuropathy with ulcerative colitis. Electrophysiologic studies disclosed a severe neuropathy with both axonal and demyelinating features. The CSF protein content was 875 mg/dl. Sural nerve biopsy revealed perineuritis. Peripheral neuropathy with perineuritis may be an immunologically mediated extraintestinal manifestation of ulcerative colitis.

Address correspondence and reprint requests to Dr. Chad, Department of Neurology, University of Massachusetts Medical Center, 55 Lake Avenue, North, Worcester, MA 01605.

Presented in part at the thirty-seventh annual meeting of the American Academy of Neurology, Dallas, TX, May 1985, and at the 61st Annual Meeting of the American Association of Neuropathologists, Boston, June 1985.

Accepted for publication February 7, 1986.

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