Skip to main content
Log in

Sarcoidosis of the peripheral nerve: A histological and ultrastructural study of two cases

  • Original Works
  • Published:
Acta Neuropathologica Aims and scope Submit manuscript

Summary

Two cases of sarcoid neuropathy were diagnosed by histological examination of muscle and peripheral nerve biopsies. The epineurium of the first patient showed a few sarcoid granulomas surrounding and invading the wall of an arteriole, and in some arterioles there were sites of fibrinoid necrosis. Sarcoid granulomas encroached on the walls of arterioles in the epineurium of the second patient. Ultrastructural examination showed severe alteration of nerve fibres in the first case and only a few altered fibres in the second. Damage to nerve fibres in these cases depended mainly on the degree of arteriolar wall involvement.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alajouanine T, Bertrand I, Degos R, Contamin F, Escourolle R (1958) Sarcoïdose ganglionnaire, cutanée et oculaire avec atteinte secondaire diffuse périphérique et centrale du système nerveux. Rev Neurol 99:421–447

    Google Scholar 

  • Arnould G, Tridon P, Picard L, Weber M, Floquet J (1966) Multinévrite au cours d'une maladie de Besnier-Boeck-Schaumann. Rev Neurol 114:457–459

    Google Scholar 

  • Ashury AK, Johnson PC (1978) Pathology of peripheral nerves. Saunders, Philadelphia

    Google Scholar 

  • Bernaudin JF, Soler P, Basset F, Chretien J (1975) La cellule épithélioïde. Données ultrastructurales au cours des diverses entités pathologiques humaines. Pathol Biol 23:494–498

    Google Scholar 

  • Dal Canto MC, Wisniewski HM, Johnson AB, Brostoff SW, Raine CS (1975) Vesicular disruption of myelin in autoimmune demyelination. J Neurol Sci 24:313–319

    Google Scholar 

  • Delaney P (1977) Neurologic manifestations in sarcoidosis: Review of the literature, with a report of 23 cases. Ann Intern Med 87:336–345

    Google Scholar 

  • Dyck PJ, Conn DL, Okazaki H (1972) Necrotizing angiopathic neuropathy: Three-dimensional morphology of fiber degeneration related to sites of occluded vessels. Mayo Clin Proc 47:461–475

    Google Scholar 

  • Emery JP, Lasserre PP, Dryll A (1972) Les manifestations neurologiques périphériques de la sarcoïdose. Sem Hôp Paris 48:3039–3043

    Google Scholar 

  • James EM, Jones Williams W (1974) Fine structure and histochemistry of epitheloid cells in sarcoidosis. Thorax 29:115–120

    Google Scholar 

  • Jones Williams W (1967) The identification of sarcoid granulomas in the nervous system. Proc R Soc Med 60:1170–1172

    Google Scholar 

  • Kompf D, Neudorfer B, Kayser-Gatchalian C, Mayer-Wahl L, Ranft K (1976) Mononeuritis multiplex bei Boeckscher Sarkoidose. Nervenarzt 47:687–689

    Google Scholar 

  • Matthews WB (1975) Sarcoid neuropathy. In: Dyck PJ, Thomas PK, Lambert EH (eds) Peripheral neuropathy. Saunders, Philadelphia, pp 1199–1206

    Google Scholar 

  • Mazza G (1908) Über das multiple benigne Sarkoid der Haut. Arch Dermatol Syph (Berl) 91:67–78

    Google Scholar 

  • Meyer JS, Foley JM, Campagna-Pinto D (1953) Granulomatous angiitis of the meninges in sarcoidosis. Arch Neurol Psychiatry 69:587–600

    Google Scholar 

  • Nemni R, Galassi G, Cohen M, Hays P, Gould R, Singh N, Bressman S, Gamboa T (1981) Symmetric sarcoid polyneuropathy: Analysis of a sural nerve biopsy. Neurology 31:1217–1223

    Google Scholar 

  • OH SJ (1980) Sarcoid polyneuropathy: A histologically proved case. Ann Neurol 7:178–181

    Google Scholar 

  • Schott B, Michel D, Lejeune E, Bouvier M, Vauzelle JL, Girard R, Roumagoux J, Ramel P, Bouvier S (1968) Polyradiculonévrites au cours de la maladie de Besnier-Boeck-Schaumann. J Med Lyon 49:931–937

    Google Scholar 

  • Vital C, Vallat JM (1980) Ultrastructural study of the human diseased peripheral nerve, 1st edn. Masson, New York

    Google Scholar 

  • Vital C, Vallat JM, Gruyer G, Coquet M, Rivel J (1980) Etude anatomo-clinique de vingt-cinq cas de sarcoïdose musculaire. Examen ultrastructural de deux biopsies. Arch Anat Cytol Pathol 28:214–221

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vital, C., Aubertin, J., Ragnault, J.M. et al. Sarcoidosis of the peripheral nerve: A histological and ultrastructural study of two cases. Acta Neuropathol 58, 111–114 (1982). https://doi.org/10.1007/BF00691650

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00691650

Key words

Navigation