IgM anti-MAG paraproteinaemic neuropathy: clinical features

Evidence-based neurology checklist on igm anti-mag paraproteinaemic neuropathy: clinical features: Demographics Anti MAG antibodies are present in 50% of IgM neuropathy About 70% of these have MGUS The mean onset age is just over 60 years: range is about 25-90 years It usually affects men with no…

Demographics

  • Anti MAG antibodies are present in 50% of IgM neuropathy
  • About 70% of these have MGUS
  • The mean onset age is just over 60 years: range is about 25-90 years
  • It usually affects men with no other associated diseases
  • There is no M protein in about 6% of cases
  • There may be associated anti SGPG and anti-ganglioside antibodies

Risk factors

Phenotypes

Typical clinical features

Differential diagnosis of IgM without anti MAG antibody

Nerve conduction studies (NCS)

Outcome

Acronyms

References

  1. Dalakas MC. Pathogenesis and treatment of anti-MAG neuropathy. Curr Treat Options Neurol 2010; 12:71-83.
  2. Dalakas MC. Advances in the diagnosis, immunopathogenesis and therapies of IgM-anti-MAG antibody-mediated neuropathies. Ther Adv Neurol Disord 2018; 11:1756285617746640.
  3. So YT. Immune-mediated neuropathies. Continuum (Minneap Minn) 2012; 18:85-105.
  4. Svahn J, Petiot P, Antoine JC, et al; Francophone anti-MAG cohort Group. Anti-MAG antibodies in 202 patients: clinicopathological and therapeutic features. JNNP 2018; 89:499-505. 
  5. Sakamoto Y, Shimizu T, Tobisawa S, Isozaki E. Chronic demyelinating neuropathy with anti-myelin-associated glycoprotein antibody without any detectable M-protein. Neurol Sci 2017; 38:2165-2169. 
  6. And 4 more. Subscribe to see the full list

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