Pierre Amarenco, MD; Gérard Amarenco, MD; Marielle Baudrimont, MD; Etienne Roullet, MD; René Marteau, MD
To the Editor: Neuromuscular complications of periarteritis nodosa have been well described (1); however, the occurrence of bladder paralysis has not been reported.
A 74-year-old woman was hospitalized in February 1987 for a gait disturbance and generalized weakness. Since September 1986, she had noted the absence of voiding sensation and used to urinate once daily when she thought her bladder was full. Later, voiding became long and difficult but remained painless, and she used abdominal pressure. Her symptoms progressively worsened until a severe motor deficit from mononeuritis multiplex prompted her hospitalization. Perineal examination showed the loss of all conus reflexes
Amarenco P, Amarenco G, Baudrimont M, Roullet E, Marteau R. Bladder Neuropathy in Periarteritis Nodosa. Ann Intern Med. ;110:411–412. doi: 10.7326/0003-4819-110-5-411
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Published: Ann Intern Med. 1989;110(5):411-412.
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