CIDP is thought to be caused by the immune system mistakenly attacking and damaging the myelin sheath (protective cover of nerve fibers) of the peripheral nerves. CIDP is closely related to Guillain-Barre syndrome (GBS) and is considered the chronic counterpart of GBS.
Who gets CIDP?Anyone can get CIDP, but its most common in older adults, and more in men than women. As many as 40,000 people in the U.S. may have the condition, but its hard to know how many people have it. CIDP isnt easy to diagnose.
How rare is CIDP?CIDP is a rare disorder that can affect any age group and the onset of the disorder may begin during any decade of life. CIDP affects males twice as often as females and the average age of onset is 50. The prevalence of CIDP is estimated to be around 5-7 cases per 100,000 individuals.
How long does it take CIDP to develop?CIDP is a chronic condition with symptoms that develop over the course of eight weeks or longer and last several months to several years.
Can you live a normal life with CIDP?For patients with CIDP, access to treatment is vital to maintain physical autonomy. It also makes it possible to have a normal life – from all social, professional, psycho-affective and family aspects. For some acute peripheral neuropathies, access to immunoglobulins is a question of life or death.
Does CIDP cause weight gain?Its believed that in CIDP, the immune system damages the sheaths around nerves, called the myelin. Taken daily, corticosteroids can prevent that damage. These medications have side effects, including high blood pressure, higher blood sugar, upset stomach, mood swings, irritability, restlessness, and weight gain.
What is the best treatment for CIDP?Treatment for CIDP includes corticosteroids such as prednisone, which may be prescribed alone or in combination with immunosuppressant drugs. Plasmapheresis (plasma exchange) and intravenous immunoglobulin (IVIg) therapy are effective. IVIg may be used even as a first-line therapy.
Does CIDP affect the brain?CIDP is an acquired disorder of the peripheral nerves and nerve roots. The brain can be involved, with lesions appearing similar to those seen in multiple sclerosis (MS).
Does CIDP affect life expectancy?Although CIDP is not fatal, and the life expectancy of a patient is comparable to someone who does not have the disease, a patients quality of life can be significantly impacted. The longer the disease goes untreated, the more nerve damage can permanently limit sensory and motor functions.
Does CIDP affect speech?Common Symptoms of CIDP As a result, patients may experience sensory changes in their extremities, uncoordinated movement, problems breathing, slurred speech, difficulty walking, and trouble using their arms or legs.
In some patients, presentation can be acute and closely mimic 2,4.
Pathology Chronic inflammatory demyelinating polyneuropathy is an acquired demyelinating disease of the peripheral nervous system. Affected nerves demonstrate segmental infiltration with inflammatory cells lymphocytes and demyelination 4. Over time there is proliferation of Schwann cells and deposition of collagen resulting in thickening of the nerve and the characteristic 4.
Update on the Diagnosis and Management of CIDP Variants
Involvement of the nerves results in changes of How is CIDP acquired? in the supplied muscles 1. In many cases, the nerves become so thickened that they resemble.
Approximately one-third of patients have cranial nerve involvement 5. Schulze M, Kötter I, Ernemann U et-al. Rentzos M, Anyfanti C, Kaponi A, Pandis D, Ioannou M, Vassilopoulos D. Chronic inflammatory demyelinating polyneuropathy: a 6-year retrospective clinical study of a hospital-based population.