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$Unique_ID{BRK04090}
$Pretitle{}
$Title{Parsonnage-Turner Syndrome}
$Subject{Parsonnage-Turner Syndrome Brachial Neuritis Brachial Plexus Neuritis
Idiopathic Brachial Plexus Neuropathy Neuralgic Amyotrophy Peripheral
Neuropathy Lyme Disease Rheumatoid Arthritis}
$Volume{}
$Log{}
Copyright (C) 1990 National Organization for Rare Disorders, Inc.
726:
Parsonnage-Turner Syndrome
** IMPORTANT **
It is possible that the main title of the article (Parsonnage-Turner
Syndrome) is not the name you expected. Please check the SYNONYM listing to
find the alternate names and disorder subdivisions covered by this article.
Synonyms
Brachial Neuritis
Brachial Plexus Neuritis
Idiopathic Brachial Plexus Neuropathy
Neuralgic Amyotrophy
Information on the following diseases can be found in the Related
Disorders section of this report:
Peripheral Neuropathy
Lyme Disease
Rheumatoid Arthritis
General Discussion
** REMINDER **
The information contained in the Rare Disease Database is provided for
educational purposes only. It should not be used for diagnostic or treatment
purposes. If you wish to obtain more information about this disorder, please
contact your personal physician and/or the agencies listed in the "Resources"
section of this report.
Parsonnage-Turner Syndrome is a common inflammation of a group of nerves
that control and supply the muscles of the chest, arm, forearm and hand
(brachial plexus).
Symptoms
Parsonnage-Turner Syndrome is characterized by severe neck and shoulder pain
in the area above the collarbone (supraclavicular). This pain may radiate
down the arm and into the hand. There can be muscle weakness, wasting
(atrophy) and numbness (hyperesthesia) which can affect one or both sides of
the body. People with this disorder usually recover within a few months
although symptoms can last a couple of years. Recovery is usually complete.
Causes
The exact cause of Parsonnage-Turner Syndrome is not known. This disorder
may occur following an injection (tetanus, diphtheria or allergy), surgery or
infection with Lyme Disease. Some scientists believe that it may be an
autoimmune disorder. Autoimmune disorders are caused when the body's natural
defenses (antibodies, lymphocytes, etc.), against invading organisms suddenly
begin to attack healthy tissue.
Affected Population
Parsonnage-Turner Syndrome can affect anyone, but is seen most often in young
adult males.
Related Disorders
Symptoms of the following disorders can be similar to those of Parsonnage-
Turner Syndrome. Comparisons may be useful for a differential diagnosis:
Peripheral Neuropathy is a syndrome characterized by sensory, motor,
reflex and blood vessel (vasomotor) symptoms. These symptoms can occur
singly or in any combination. (For more information on this disorder, choose
"Peripheral Neuropathy" as your search term in the Rare Disease Database.)
Lyme Disease is a tick-transmitted inflammatory disorder characterized by
an early focal lesion, and subsequently a growing red area on the skin
(erythema chronicum migrans or ECM). The disorder may be followed weeks
later by joint pain resembling arthritis and neurological or heart
abnormalities. (For more information on this disorder, choose "Lyme" as your
search term in the Rare Disease Database).
Rheumatoid Arthritis is a common disease that affects the joints. The
exact cause is unknown although it is believed to be an autoimmune disorder.
It is characterized by a loss of appetite, extreme fatigue and joint pain
with deformities. The location of painful joints may change (migration).
Very often more than one joint is affected. Pain, early morning stiffness,
aching joints chiefly in the hands, knees, feet, jaw and spine occur. Once
affected, a joint may remain painful for a long time and eventually become
deformed. (For more information on this disorder, choose "Arthritis" as your
search term in the Rare Disease Database.)
Therapies: Standard
Most patients with Parsonnage-Turner Syndrome will recover without any
treatment. Physical therapy or surgery may be helpful for some people with
this disorder. Other treatment is symptomatic and supportive.
Therapies: Investigational
This disease entry is based upon medical information available through July
1990. Since NORD's resources are limited, it is not possible to keep every
entry in the Rare Disease Database completely current and accurate. Please
check with the agencies listed in the Resources section for the most current
information about this disorder.
Resources
For more information on Parsonnage-Turner Syndrome, please contact:
National Organization for Rare Disorders (NORD)
P.O. Box 8923
New Fairfield, CT 06812-1783
(203) 746-6518
The National Arthritis and Musculoskeletal and Skin Diseases Information
Clearinghouse (NIAMS)
Box AMS
Bethesda, MD 20892
(301) 495-4484
References
INTERNAL MEDICINE, 2nd Ed.: Jay H. Stein, ed.-in-chief; Little, Brown and
Co., 1987. Pp. 2237.
THE MERCK MANUAL, 15th Ed.: Robert Berkow, M.D., ed.-in-chief; Merck,
Sharp & Dohme Laboratories., 1987. Pp. 1442.
POSTPARTUM IDIOPATHIC BRACHIAL NEURITIS. D. Dimitru, et al.; OBSTET
GYNECOL (March 1989, issue 73 (3)). Pp. 473-475.
BRACHIAL NEURITIS INVOLVING THE BILATERAL PHRENIC NERVES. N. Walsh, et
al.; ARCH PHYS MED REHABIL (January 1987, issue 68 (1)). Pp. 46-48.
BRACHIAL PLEXUS NEUROPATHY. ASSOCIATION WITH DESENSITIZING ANTIALLERGY
INJECTIONS. E. Wolpow; JAMA (November 10, 1975, issue 234 (6)). Pp. 1214-
1217.
SURGERY FOR LESIONS OF THE BRACHIAL PLEXUS. D. Kline, et al.; ARCH
NEUROL (February 1986 issue 43 (2)). Pp. 170-181.
BRACHIAL NEURITIS. L. Dillin, et al.; J BONE JOINT SURG [AM]. (July
1985 issue 67 (6)). Pp. 878-883.
HYPERTROPHIC BRACHIAL PLEXUS NEURITIS: A PATHOLOGICAL STUDY OF TWO CASES.
M. Cusiamano, et al.; ANN NEUROL (November 1988, issue 24 (5)). Pp. 615-622.
INJURY TO THE BRACHIAL PLEXUS DURING PUTTI-PLATT AND BRISTOW PROCEDURES.
A REPORT OF EIGHT CASES. R. Richards, et al.; AM J SPORTS MED (July-August
1987, issue 15 (4)). Pp. 374-380.