Chronic idiopathic axonal polyneuropathy (CIAP): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Chronic idiopathic axonal polyneuropathy (CIAP): clinical features. Obesity, Hypertension, Impaired fasting glucose. Fully referenced neurology checklist.

Possible risk factors

  • Obesity
  • Hypertension
  • Impaired fasting glucose
  • Low HDL cholesterol
  • High triglycerides
  • Possible association with HLA-DQA1*05 allele 
  • CANVAS syndrome: this accounts for 27% of cases

Onset features

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Clinical presentation

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Complications

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Progression

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References

  1. Visser NA, Vrancken AFJE, van der Schouw YT, van den Berg LH, Notermans NC. Chronic idiopathic axonal polyneuropathy is associated with the metabolic syndrome. Diabetes Care 2013; 36:817-822.
  2. Notermans NC, Wokke JHJ, Franssen H, et al. Chronic idiopathic polyneuropathy presenting in middle or old age: a clinical and electrophysiological study of 75 patients. JNNP 1993; 56:1066-1071.
  3. Hughes RAC, Umapathi T, Gray IA, et al. A controlled investigation of the cause of chronic idiopathic axonal polyneuropathy. Brain 2004; 127:1723-1730.
  4. Singer MA, Vernino SA, Wolfe GI. Idiopathic neuropathy: new paradigms, new promise. J Peripher Nerv Syst 2012; 17(Suppl 2):43-49.
  5. Callaghan BC, Xia R, Reynolds E, et al. Association between metabolic syndrome components and polyneuropathy in an obese population. JAMA Neurol 2016; 73:1468-1476.
  6. And 3 more. Subscribe to see the full list

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