Which physical findings are characteristic of progressive polyradiculopathy in HIV infection?

Updated: Nov 05, 2019
  • Author: Emad R Noor, MBChB; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Answer

The following may be noted in CMV-related polyradiculopathy:

  • Rapidly progressive, ascending course

  • Paresthesias

  • Sensory loss, invariable

  • Rarely, sensory level suggestive of spinal cord involvement

  • Flaccid paraparesis

  • Areflexia

  • Urinary retention, constipation, or incontinence

  • Rarely, cranial neuropathies

  • Severe pain

  • Often asymmetrical, especially in the early stage of disease

  • Late involvement of the upper extremities

Herpes zoster is characterized by pain and itching followed by rash. Trigeminal and thoracic dermatomes are most commonly affected. [17]


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