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From the Peripheral Neuropathy Center, Department of Neurology and Neuroscience (R.L.C., V.G.T., H.W.S., T.H.B., N.L.), Weill Medical College of Cornell University, New York, NY; and the Celiac Disease Center (P.H.R.G.), Columbia University, New York, NY.
Address correspondence and reprint requests to Dr. Russell L. Chin, Peripheral Neuropathy Center, 635 Madison Avenue, Suite 400, New York, NY 10022; e-mail: ruc9002{at}med.cornell.edu.
The authors report six patients with multifocal axonal polyneuropathy and the subsequent diagnosis of celiac disease (CD). Five patients did not improve or had only modest improvement following dietary intervention or immune therapies; one patient with marked weakness and mild electrodiagnostic findings had complete resolution of the neuropathy following immunomodulatory therapy. CD may be a cause of multifocal axonal polyneuropathy.
Disclosure: The authors report no conflicts of interest.
Received September 19, 2005. Accepted in final form January 18, 2006.
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